Provider Demographics
NPI:1528001500
Name:CARTER, SUE (LPC)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2817 BISHOPGATE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27613-7220
Mailing Address - Country:US
Mailing Address - Phone:919-368-7798
Mailing Address - Fax:919-870-0996
Practice Address - Street 1:8009 CREEDMOOR RD
Practice Address - Street 2:SUITE 202
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27613-4393
Practice Address - Country:US
Practice Address - Phone:919-368-7798
Practice Address - Fax:919-870-0996
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4624101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCD8354OtherMEDCOST
NC6102125Medicaid
NC10391924OtherVOCATIONAL REHABILITATION
NC2210626OtherCIGNA
NC348613OtherMANAGED HEALTH NETWORK
NC7555758OtherAETNA
NC137JPOtherBLUE CROSS BLUE SHIELD