Provider Demographics
NPI:1649018896
Name:REEVES, ANNA FLETCHER (LCMHCA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:FLETCHER
Last Name:REEVES
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:GRACE
Other - Last Name:FLETCHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 E 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28052-4358
Mailing Address - Country:US
Mailing Address - Phone:704-874-1900
Mailing Address - Fax:
Practice Address - Street 1:1350 PANTHER TRL SE
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-4736
Practice Address - Country:US
Practice Address - Phone:828-758-7376
Practice Address - Fax:828-758-9708
Is Sole Proprietor?:No
Enumeration Date:2024-07-19
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20190101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health