| Living Well Behavioral Health, Inc. | |
|
2350 Bentridge Ln Suite 300 Fayetteville NC 28304-0590 | |
| (910) 565-2322 | |
| (910) 479-1401 |
| Full Name | Living Well Behavioral Health, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2350 Bentridge Ln, Fayetteville, North Carolina |
| Authorized Official Name and Position | Patricia Deleuran (PRESIDENT) |
| Authorized Official Contact | 9105652322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Well Behavioral Health, Inc. 2350 Bentridge Ln Suite 300 Fayetteville NC 28304-0590 Ph: (910) 565-2322 | Living Well Behavioral Health, Inc. 2350 Bentridge Ln Suite 300 Fayetteville NC 28304-0590 Ph: (910) 565-2322 |
| NPI Number | 1790238335 |
|---|---|
| Provider Enumeration Date | 08/01/2016 |
| Last Update Date | 08/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790238335 | NPI | - | NPPES |
| 5950272 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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