Healthcare Provider Details

I. General information

NPI: 1154002236
Provider Name (Legal Business Name): CARRIEANN LEFSAKER LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 SE MAYNARD RD STE 102
CARY NC
27511-6944
US

IV. Provider business mailing address

1220 SE MAYNARD RD STE 102
CARY NC
27511-6944
US

V. Phone/Fax

Practice location:
  • Phone: 919-443-0765
  • Fax:
Mailing address:
  • Phone: 919-443-0765
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA18778
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: