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NPI Code Detail

MEDICARE: IVES ALEXANDRA MAREADY LCMHCA

MEDICARE: IVES ALEXANDRA MAREADY LCMHCA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorA22419NC

General Provider Information

NPI Number : 1538018346
Entity Type Code : Individual
Provider Name (Legal Business Name) : IVES ALEXANDRA MAREADY LCMHCA
Provider Business Mailing Address
First Line : 3613 EDEN CROFT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27612-4325
Country : US
Telephone Number : 910-617-2851
Fax Number :
Provider Business Practice Location Address
First Line : 5510 SIX FORKS RD STE 125
Second Line :
City : RALEIGH
State : NC
Zip : 27609-3884
Country : US
Telephone Number : 919-861-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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1992488225 — ILARIA GIULIANA BUSIO LCMHC-A
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Directions to “ IVES ALEXANDRA MAREADY LCMHCA” Practice Location

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