Provider Demographics
NPI:1730440066
Name:GERSTEMEIER, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:GERSTEMEIER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:SCHUBERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:749 HALLSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:BEULAVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28518-6605
Mailing Address - Country:US
Mailing Address - Phone:252-497-2727
Mailing Address - Fax:910-375-8108
Practice Address - Street 1:749 HALLSVILLE RD
Practice Address - Street 2:
Practice Address - City:BEULAVILLE
Practice Address - State:NC
Practice Address - Zip Code:28518-6605
Practice Address - Country:US
Practice Address - Phone:252-497-2727
Practice Address - Fax:910-375-8108
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
NC14346S101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor