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NPI Code Detail

MEDICARE: FELICIA NICOLE BRAGGS LCMHCA, LCASA

MEDICARE:   FELICIA NICOLE BRAGGS  LCMHCA, LCASA
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 CounselorA22766NC
2101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-31391NC

General Provider Information

NPI Number : 1801740790
Entity Type Code : Individual
Provider Name (Legal Business Name) : FELICIA NICOLE BRAGGS LCMHCA, LCASA
Provider Business Mailing Address
First Line : 3125 POPLARWOOD CT STE 203
Second Line :
City : RALEIGH
State : NC
Zip : 27604-6445
Country : US
Telephone Number : 919-787-6131
Fax Number : 919-571-2932
Provider Business Practice Location Address
First Line : 2101 GARNER RD
Second Line :
City : RALEIGH
State : NC
Zip : 27610-0114
Country : US
Telephone Number : 919-787-6131
Fax Number : 919-571-2932
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2026
Last Update Date : 06/03/2026

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Directions to “ FELICIA NICOLE BRAGGS LCMHCA, LCASA” Practice Location

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