Provider Demographics
NPI:1730068156
Name:CAO, STEPHEN (LCMHC-A)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:CAO
Suffix:
Gender:M
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 TROLLEY CAR WAY
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5538
Mailing Address - Country:US
Mailing Address - Phone:919-760-5851
Mailing Address - Fax:
Practice Address - Street 1:8045 ARCO CORPORATE DR STE 120
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-2026
Practice Address - Country:US
Practice Address - Phone:919-346-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA21701101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health