Provider Demographics
NPI:1205376548
Name:MCFALL-ROBERTS, EBUNI (LPC)
Entity Type:Individual
Prefix:
First Name:EBUNI
Middle Name:
Last Name:MCFALL-ROBERTS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:EBUNI
Other - Middle Name:
Other - Last Name:MCFALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:445 CHRISTIAN CREEK PL
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-6547
Mailing Address - Country:US
Mailing Address - Phone:404-538-4230
Mailing Address - Fax:
Practice Address - Street 1:1151 EXECUTIVE CIR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4589
Practice Address - Country:US
Practice Address - Phone:919-462-8308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11612101YP2500X
GALPC003664101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional