| Alphamind Brain Centers, Pllc | |
|
125 Edinburgh South Dr Ste 105 Cary NC 27511-6484 | |
| (919) 408-2230 | |
| Not Available |
| Full Name | Alphamind Brain Centers, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 125 Edinburgh South Dr Ste 105, Cary, North Carolina |
| Authorized Official Name and Position | Leona Kimberly Damico (CEO, OWNER) |
| Authorized Official Contact | 9194082230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alphamind Brain Centers, Pllc 125 Edinburgh South Dr Ste 105 Cary NC 27511-6484 Ph: (919) 408-2230 | Alphamind Brain Centers, Pllc 125 Edinburgh South Dr Ste 105 Cary NC 27511-6484 Ph: (919) 408-2230 |
| NPI Number | 1629709092 |
|---|---|
| Provider Enumeration Date | 06/17/2022 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/16/2022 |
| Medicare PECOS PAC ID | 4587006093 |
|---|---|
| Medicare Enrollment ID | O20240530000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629709092 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Leona Kimberly Damico |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679005805 PECOS PAC ID: 5496197907 Enrollment ID: I20240530000289 |
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