Healthcare Provider Details

I. General information

NPI: 1407776446
Provider Name (Legal Business Name): KATHERINE ROSE VELARDO M.ED, LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 IOWA LN STE 204
CARY NC
27511-2400
US

IV. Provider business mailing address

110 IOWA LN STE 204
CARY NC
27511-2400
US

V. Phone/Fax

Practice location:
  • Phone: 919-587-8018
  • Fax:
Mailing address:
  • Phone: 919-587-8018
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23080
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: