Provider Demographics
NPI:1154728202
Name:MATHES, WENDY FOULDS (MS, PHD, LPCA, NCC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:FOULDS
Last Name:MATHES
Suffix:
Gender:F
Credentials:MS, PHD, LPCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 POWERS FERRY RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-1509
Mailing Address - Country:US
Mailing Address - Phone:919-629-2340
Mailing Address - Fax:
Practice Address - Street 1:204 POWERS FERRY RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-1509
Practice Address - Country:US
Practice Address - Phone:919-629-2340
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10995101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health