Provider Demographics
NPI:1003099326
Name:KING POWERS CAREY, KARAE NAKEMIA MCGHEE (MS)
Entity Type:Individual
Prefix:MS
First Name:KARAE
Middle Name:NAKEMIA MCGHEE
Last Name:KING POWERS CAREY
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:KARAE
Other - Middle Name:NAKEMIA
Other - Last Name:POWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:1330 SE MAYNARD RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-3628
Mailing Address - Country:US
Mailing Address - Phone:919-454-7857
Mailing Address - Fax:
Practice Address - Street 1:1330 SE MAYNARD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-3628
Practice Address - Country:US
Practice Address - Phone:919-454-7857
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-10
Last Update Date:2013-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MISC0000544101YS0200X
MI6301012018103TC0700X
MI6803075415104100000X
NC6893101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC148V7OtherBCBS
NC6103887Medicaid