Provider Demographics
NPI:1306328091
Name:MATHEWS, MAHKAL L (LCMHC-A, LCAS-A)
Entity type:Individual
Prefix:
First Name:MAHKAL
Middle Name:L
Last Name:MATHEWS
Suffix:
Gender:M
Credentials:LCMHC-A, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 73081
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27722-3081
Mailing Address - Country:US
Mailing Address - Phone:919-885-4046
Mailing Address - Fax:919-477-1848
Practice Address - Street 1:106 W CHURCH ST STE H
Practice Address - Street 2:
Practice Address - City:CREEDMOOR
Practice Address - State:NC
Practice Address - Zip Code:27522-9765
Practice Address - Country:US
Practice Address - Phone:919-885-4046
Practice Address - Fax:919-477-1848
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLCAS-24330101YA0400X
NCA19034101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty