Healthcare Provider Details

I. General information

NPI: 1184980559
Provider Name (Legal Business Name): CARRIE ANNE MECKLER LPC, LCAS-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2012
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7837 SPUNGOLD ST
RALEIGH NC
27617-8602
US

IV. Provider business mailing address

7837 SPUNGOLD ST
RALEIGH NC
27617-8602
US

V. Phone/Fax

Practice location:
  • Phone: 704-524-3193
  • Fax: 919-701-7551
Mailing address:
  • Phone: 704-524-3193
  • Fax: 919-701-7551

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8934
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number8934
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: