| Innerfoundations, Inc | |
|
316 W Millbrook Rd Ste 109 Raleigh NC 27609-4482 | |
| (919) 847-6514 | |
| Not Available |
| Full Name | Innerfoundations, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 316 W Millbrook Rd Ste 109, Raleigh, North Carolina |
| Authorized Official Name and Position | La Vera Brown (PRESIDENT) |
| Authorized Official Contact | 9193454664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerfoundations, Inc 316 W Millbrook Rd Ste 109 Raleigh NC 27609-4482 Ph: () - | Innerfoundations, Inc 316 W Millbrook Rd Ste 109 Raleigh NC 27609-4482 Ph: (919) 847-6514 |
| NPI Number | 1558406843 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558406843 | NPI | - | NPPES |
| 6005953 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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