Provider Demographics
NPI:1366683211
Name:WESCARE COUNSELING CENTER, PC
Entity Type:Organization
Organization Name:WESCARE COUNSELING CENTER, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KA RAE'
Authorized Official - Middle Name:NAKEMIA MCGHEE
Authorized Official - Last Name:KING POWERS CAREY
Authorized Official - Suffix:
Authorized Official - Credentials:PH D
Authorized Official - Phone:919-454-7857
Mailing Address - Street 1:1330 SE MAYNARD RD
Mailing Address - Street 2:STE 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:919-469-5685
Practice Address - Street 1:1330 SE MAYNARD RD
Practice Address - Street 2:STE 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:919-469-5685
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-23
Last Update Date:2009-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6893101YA0400X, 101YM0800X, 101YP2500X, 106H00000X, 251S00000X
MISC000544101YS0200X
NC2200101YS0200X
MI6301012018103T00000X, 103TC0700X
MI6803075415104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty