| Doctor Name: | MR. CAREY WAINWRIGHT |
| NPI Number: | 1285065797 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CSAC |
| License Number: | 2908 |
| Business Practice Address: | 104 N. Main Street, Suite 200 Vision Behavioral Health Services Louisburg, NC - 27549 |
| Business Phone Number: | 9194967781 |
| Business Fax Number: | 9194961477 |
| Mailing Address: | 104 N. Main Street, Suite 200, Vision Behavioral Health Services LOUISBURG |
| State: | NC |
| Postal Code: | 27549 |
| Phone Number: | 9194967781 |
| Fax Number: | 9194961477 |
| NPI Enumeration Date: | 12/09/2013 |
| NPI Last Update Date: | 12/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2908 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |