Provider Demographics
NPI:1942784079
Name:CARMICHAEL, MARIA M (LCMHC, LCAS)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:M
Last Name:CARMICHAEL
Suffix:
Gender:F
Credentials:LCMHC, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1021
Mailing Address - Street 2:
Mailing Address - City:BEULAVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28518-1021
Mailing Address - Country:US
Mailing Address - Phone:910-574-8381
Mailing Address - Fax:
Practice Address - Street 1:7558 KNIGHTBELL CIR
Practice Address - Street 2:
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4603
Practice Address - Country:US
Practice Address - Phone:910-574-8381
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-25
Last Update Date:2024-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA13725101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor