Provider Demographics
NPI:1083254270
Name:CARLTON, BRANDY RAE (LCMHC, LCAS-A)
Entity Type:Individual
Prefix:
First Name:BRANDY
Middle Name:RAE
Last Name:CARLTON
Suffix:
Gender:F
Credentials:LCMHC, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 MACARTHUR ST
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5410
Mailing Address - Country:US
Mailing Address - Phone:366-689-9723
Mailing Address - Fax:855-941-6011
Practice Address - Street 1:135 MACARTHUR ST
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-5410
Practice Address - Country:US
Practice Address - Phone:366-689-9723
Practice Address - Fax:855-941-6011
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-15
Last Update Date:2022-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC15498101YP2500X, 101YM0800X
NCLCAS-26186101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health