Provider Demographics
NPI:1972769461
Name:ROSINSKI, CARLA RAE (MA, LPC)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:RAE
Last Name:ROSINSKI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 NAVAHO DR STE 119
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7359
Mailing Address - Country:US
Mailing Address - Phone:919-724-1181
Mailing Address - Fax:
Practice Address - Street 1:1100 NAVAHO DR STE 119
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7359
Practice Address - Country:US
Practice Address - Phone:339-293-2781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-04
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8542101YM0800X
NC8452101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)