| Intuitive Mental Health Service Of North Carolina | |
|
992 Durham Rd Wake Forest NC 27587-6589 | |
| (919) 530-9866 | |
| (919) 238-1642 |
| Full Name | Intuitive Mental Health Service Of North Carolina |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 992 Durham Rd, Wake Forest, North Carolina |
| Authorized Official Name and Position | Robin Peterson (PMHNP-BC) |
| Authorized Official Contact | 9194270926 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intuitive Mental Health Service Of North Carolina 2625 Penfold Ln Wake Forest NC 27587-5462 Ph: (919) 427-0926 | Intuitive Mental Health Service Of North Carolina 992 Durham Rd Wake Forest NC 27587-6589 Ph: (919) 530-9866 |
| NPI Number | 1841931276 |
|---|---|
| Provider Enumeration Date | 04/07/2022 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Medicare PECOS PAC ID | 6901280577 |
|---|---|
| Medicare Enrollment ID | O20220831000275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841931276 | NPI | - | NPPES |
| 1336622448 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Robin S Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336622448 PECOS PAC ID: 4486996675 Enrollment ID: I20190509000918 |
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