Maya Simone White Ballou
LCAS-A | Addiction (Substance Use Disorder) Counselor
6636 E W T Harris Blvd, Charlotte
North Carolina, 28215-5133
704-553-5392 Maps & DirectionsMaya Simone White Ballou is a Charlotte, North Carolina based counselor who is specialized as Addiction (Substance Use Disorder) Counselor. Active license number of Maya Simone White Ballou is LCAS-30724 for Addiction (Substance Use Disorder) Counselor in North Carolina. Her current practice location is 6636 E W T Harris Blvd, Charlotte. Patients can book an appointment with her at 704-553-5392.
Maya Simone White Ballou is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. She helps her clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Maya Simone White Ballou speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Maya Simone White Ballou |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Female |
| Credentials: | LCAS-A |
| Accepts Medicare Assignment: | No |
| Practice Address: | 6636 E W T Harris Blvd, Charlotte,
North Carolina, 28215-5133 |
| Phone: | 704-553-5392 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1699633271 |
| NPI Enumeration Date: | 13 Jan, 2026 |
| NPI Last Update On: | 13 Jan, 2026 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Maya Simone White Ballou are as mentioned below.
| License Number | Specialization | State | Status | |
| LCAS-30724 | Addiction (Substance Use Disorder) Counselor | North Carolina | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 6636 E W T Harris Blvd,
Charlotte, North Carolina |
| Zip: | 28215-5133 |
Patients can reach Maya Simone White Ballou at
6636 E W T Harris Blvd, Charlotte, North Carolina or can
call to book an appointment on 704-553-5392.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.