Provider Demographics
NPI:1538905039
Name:NOVINTE, ALICE (LCMHCA)
Entity type:Individual
Prefix:
First Name:ALICE
Middle Name:
Last Name:NOVINTE
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 CHELSFORD PL
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4859
Mailing Address - Country:US
Mailing Address - Phone:919-559-5185
Mailing Address - Fax:
Practice Address - Street 1:6321 LAKECREST DR UNIT 25
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3202
Practice Address - Country:US
Practice Address - Phone:919-559-5185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20250101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health