Provider Demographics
NPI:1972188456
Name:ALLEY, CANDACE LEANNE (CADC-R, CPSS)
Entity Type:Individual
Prefix:MRS
First Name:CANDACE
Middle Name:LEANNE
Last Name:ALLEY
Suffix:
Gender:F
Credentials:CADC-R, CPSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:318 CLOISTER CT STE 5
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-2276
Mailing Address - Country:US
Mailing Address - Phone:828-726-7050
Mailing Address - Fax:
Practice Address - Street 1:318 CLOISTER CT STE 5
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2276
Practice Address - Country:US
Practice Address - Phone:828-726-7050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-16
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171400000X, 172V00000X, 1744R1102X, 175T00000X
NCCADC-27601405300000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171400000XOther Service ProvidersHealth & Wellness Coach
No172V00000XOther Service ProvidersCommunity Health Worker
No1744R1102XOther Service ProvidersSpecialistResearch Study
No175T00000XOther Service ProvidersPeer Specialist
No405300000XOther Service ProvidersPrevention Professional