Provider Demographics
NPI:1427835008
Name:EVERITT, HELEN LORRAINE (NCC, LCMHCA)
Entity type:Individual
Prefix:MS
First Name:HELEN
Middle Name:LORRAINE
Last Name:EVERITT
Suffix:
Gender:F
Credentials:NCC, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 FAIRBANKS RD
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27513-2705
Mailing Address - Country:US
Mailing Address - Phone:919-389-0309
Mailing Address - Fax:
Practice Address - Street 1:1532 FAIRBANKS RD
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-2705
Practice Address - Country:US
Practice Address - Phone:919-389-0309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA19191101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health