MICHELLE RENEE CLANTON LCAS-A MAC B.B.A NPI 1295403368

NPI Information

  • NPI: 1295403368
  • Provider Name: MICHELLE RENEE CLANTON, LCAS-A, MAC, B.B.A
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10508 PARK RD STE 130
    CHARLOTTE, NC
    ZIP 28210
  • Phone: (704) 874-0200

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NPI Details

Michelle Renee Clanton, LCAS-A, MAC, B.B.A is an addiction (substance use disorder) counselor in Charlotte, NC. Michelle Renee Clanton, LCAS-A, MAC, B.B.A NPI is 1295403368. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

10508 PARK RD STE 130
CHARLOTTE, NC
ZIP 28210-526
Phone: (704) 874-0200

The NPI 1295403368 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 9/2/2021 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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