Provider Demographics
NPI:1346531365
Name:CLEMONS, STEVEN LLOYD JR (LCMHCS, LMFT)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LLOYD
Last Name:CLEMONS
Suffix:JR
Gender:M
Credentials:LCMHCS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10643 KETTERING DRIVE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28226
Mailing Address - Country:US
Mailing Address - Phone:704-284-9570
Mailing Address - Fax:980-470-6780
Practice Address - Street 1:10643 KETTERING DRIVE
Practice Address - Street 2:SUITE 108
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28226
Practice Address - Country:US
Practice Address - Phone:704-284-9570
Practice Address - Fax:980-470-6780
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-25
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6105348Medicaid