Provider Demographics
NPI:1225536808
Name:CARRICE, VICTORIA ASHLIE (LCMHC)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ASHLIE
Last Name:CARRICE
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1013 IREDELL ST UNIT A
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4123
Mailing Address - Country:US
Mailing Address - Phone:863-513-9941
Mailing Address - Fax:
Practice Address - Street 1:1829 E FRANKLIN ST STE 1100D
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-5804
Practice Address - Country:US
Practice Address - Phone:863-513-9941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-29
Last Update Date:2023-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC13469OtherCLINICAL LICENSURE