| Bamyline Wellness Center Pllc | |
|
4909 Waters Edge Dr, Suite 104 Raleigh NC 27606 | |
| (919) 221-1521 | |
| Not Available |
| Full Name | Bamyline Wellness Center Pllc |
|---|---|
| Speciality | Counselor |
| Location | 4909 Waters Edge Dr, Suite 104, Raleigh, North Carolina |
| Authorized Official Name and Position | Stephen Kiruja Barine (OWNER) |
| Authorized Official Contact | 9192211521 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bamyline Wellness Center Pllc 916 Windemere Lane Wake Forest NC 27587 Ph: (919) 221-1521 | Bamyline Wellness Center Pllc 4909 Waters Edge Dr, Suite 104 Raleigh NC 27606 Ph: (919) 221-1521 |
| NPI Number | 1912612516 |
|---|---|
| Provider Enumeration Date | 01/18/2023 |
| Last Update Date | 01/18/2023 |
| Certification Date | 01/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912612516 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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