Healthcare Provider Details

I. General information

NPI: 1144375403
Provider Name (Legal Business Name): STEPHANIE L. RUBAIN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8392 SIX FORKS RD STE 203
RALEIGH NC
27615-3061
US

IV. Provider business mailing address

4932 BIVENS DR
RALEIGH NC
27616-5536
US

V. Phone/Fax

Practice location:
  • Phone: 919-862-4111
  • Fax:
Mailing address:
  • Phone: 919-862-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number10145
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: