Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Georleena Elsie Douglas, LCMHC

Individual provider Mental Health Counselor · NPI 1487315115

Georleena Elsie Douglas, LCMHC is a Mental Health Counselor in Raleigh, North Carolina. Qualified in 2021, 5 years ago. Practices with Thriveworks Clinical - North Carolina PC, a 111-clinician group and accepts Medicare assignment. Licensed in North Carolina and New Jersey.

Years since qualifying
5
Licensed in
NC, NJ
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

8406 Six Forks Rd Ste 104
Raleigh, NC 27615-3075
Phone: (919) 642-4857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 17187 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 37PC01168200 (NJ)
Mental Health Counselor Taxonomy 101YM0800X · Licence A17187 (NC)

Record details

NPI number1487315115
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCMHC
Sole proprietorNo
NPI enumeratedJanuary 5, 2022
Last updated in NPPESAugust 14, 2025
Certification dateAugust 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Thriveworks Clinical - North Carolina Pc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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