Healthcare Provider Details

I. General information

NPI: 1134876014
Provider Name (Legal Business Name): ARIELLE KAROUB LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2022
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 MERIDIAN PKWY STE 115
DURHAM NC
27713-5273
US

IV. Provider business mailing address

430 N GREENSBORO ST UNIT 408
CARRBORO NC
27510-1876
US

V. Phone/Fax

Practice location:
  • Phone: 704-360-3637
  • Fax:
Mailing address:
  • Phone: 919-338-3210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number17400
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: