MEDICARE: CARLY SARAH SCHUG LPC, LCMHC

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
1	221700000X	Art Therapist	21-088
2	101YP2500X	Professional Counselor	9322	SC
3	101YM0800X	Mental Health Counselor	22003	NC

General Provider Information

NPI Number	:	1760193346
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLY SARAH SCHUG LPC, LCMHC

Provider Business Mailing Address
First Line	:	717 MISTY ISLE PL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-1546
Country	:	US
Telephone Number	:	516-417-1054
Fax Number	:

Provider Business Practice Location Address
First Line	:	717 MISTY ISLE PL
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-1546
Country	:	US
Telephone Number	:	516-417-1054
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2022
Last Update Date	:	02/17/2026

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