Provider Demographics
NPI:1548316490
Name:BEKAERT, MACHELL RENEE (LPC)
Entity type:Individual
Prefix:
First Name:MACHELL
Middle Name:RENEE
Last Name:BEKAERT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 KABANEK DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-9134
Mailing Address - Country:US
Mailing Address - Phone:919-779-5112
Mailing Address - Fax:919-779-5324
Practice Address - Street 1:107 EDINBURGH SOUTH DR
Practice Address - Street 2:MACGREGOR VILLAGE, SUITE 211
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-8426
Practice Address - Country:US
Practice Address - Phone:919-599-3514
Practice Address - Fax:919-779-5324
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3241101YP2500X
MI6301009095103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling