Provider Demographics
NPI:1346642980
Name:MAYEUX, CARRIE HELEN (MA, LMHC, CDPT, CMHS)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:HELEN
Last Name:MAYEUX
Suffix:
Gender:F
Credentials:MA, LMHC, CDPT, CMHS
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:HELEN
Other - Last Name:DUNHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:717 1/2 BOULEVARD RD SE APT C
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1979
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:505 UNION AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1473
Practice Address - Country:US
Practice Address - Phone:360-489-5562
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60492377101YM0800X
WALH60685292101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health