Provider Demographics
NPI:1740547322
Name:HUIE, EVERARD A (LCMHC, LCAS, LMHC)
Entity type:Individual
Prefix:
First Name:EVERARD
Middle Name:A
Last Name:HUIE
Suffix:
Gender:M
Credentials:LCMHC, LCAS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 WIND CHIME CT STE 103
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615-6475
Mailing Address - Country:US
Mailing Address - Phone:919-747-9359
Mailing Address - Fax:
Practice Address - Street 1:181 WIND CHIME CT STE 103
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6475
Practice Address - Country:US
Practice Address - Phone:919-747-9359
Practice Address - Fax:919-747-9678
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH10198101YM0800X
NC11680101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009935300Medicaid