Healthcare Provider Details

I. General information

NPI: 1154894665
Provider Name (Legal Business Name): COURTNEY B EVANS LCMHC, LCASA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2019
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W BARBEE CHAPEL RD STE 323
CHAPEL HILL NC
27517-7892
US

IV. Provider business mailing address

4705 UNIVERSITY DR BLDG 700
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 984-261-2465
  • Fax: 984-261-2464
Mailing address:
  • Phone: 919-237-1337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14461
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: