| Living Well Behavioral Care Inc | |
|
502 Mcknight Dr Ste 201 Knightdale NC 27545-7050 | |
| (919) 803-2111 | |
| (919) 803-3083 |
| Full Name | Living Well Behavioral Care Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 502 Mcknight Dr Ste 201, Knightdale, North Carolina |
| Authorized Official Name and Position | Patricia A. Deleuran (PRESIDENT) |
| Authorized Official Contact | 9198032111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Behavioral Care Inc 2350 Bentridge Ln Ste 301a Fayetteville NC 28304-0590 Ph: (910) 748-0261 | Living Well Behavioral Care Inc 502 Mcknight Dr Ste 201 Knightdale NC 27545-7050 Ph: (919) 803-2111 |
| NPI Number | 1336783711 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 10/12/2022 |
| Certification Date | 10/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336783711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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