Healthcare Provider Details

I. General information

NPI: 1669384673
Provider Name (Legal Business Name): UNCOVERED ROADS PSYCHOTHERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

IV. Provider business mailing address

1235 EAST BLVD STE E #1028
CHARLOTTE NC
28203
US

V. Phone/Fax

Practice location:
  • Phone: 704-312-0585
  • Fax:
Mailing address:
  • Phone: 704-312-0585
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: GABRIELLA CARBONE
Title or Position: FOUNDER & PSYCHOTHERAPIST
Credential: LCSW
Phone: 704-312-0585