Healthcare Provider Details

I. General information

NPI: 1134227267
Provider Name (Legal Business Name): MATTHEW CASE LCMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 E FRANKLIN ST
CHAPEL HILL NC
27514-2888
US

IV. Provider business mailing address

8054 SCENIC TRL
CHAPEL HILL NC
27516-8475
US

V. Phone/Fax

Practice location:
  • Phone: 336-775-7881
  • Fax: 888-873-6128
Mailing address:
  • Phone: 336-775-7881
  • Fax: 888-873-6128

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4824
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: