Provider Demographics
NPI:1437041209
Name:NEAL, BETTY LUCINDA (CMHC)
Entity type:Individual
Prefix:
First Name:BETTY
Middle Name:LUCINDA
Last Name:NEAL
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 38787
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27438-8787
Mailing Address - Country:US
Mailing Address - Phone:336-542-2060
Mailing Address - Fax:888-458-8020
Practice Address - Street 1:1301 CAROLINA ST STE 114
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1090
Practice Address - Country:US
Practice Address - Phone:336-542-2060
Practice Address - Fax:888-542-2060
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health