| Ptsd Clinics Pllc | |
|
8380 Six Forks Rd Ste 101 Raleigh NC 27615-5091 | |
| (919) 636-1664 | |
| (855) 443-8778 |
| Full Name | Ptsd Clinics Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 8380 Six Forks Rd Ste 101, Raleigh, North Carolina |
| Authorized Official Name and Position | Hassan Jabbour (OWNER/ MEDICAL DIRECTOR) |
| Authorized Official Contact | 9196739052 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ptsd Clinics Pllc 8380 Six Forks Rd Ste 101 Raleigh NC 27615-5091 Ph: (919) 636-1664 | Ptsd Clinics Pllc 8380 Six Forks Rd Ste 101 Raleigh NC 27615-5091 Ph: (919) 636-1664 |
| NPI Number | 1447989603 |
|---|---|
| Provider Enumeration Date | 06/05/2022 |
| Last Update Date | 06/05/2022 |
| Certification Date | 06/05/2022 |
| Medicare PECOS PAC ID | 1456896406 |
|---|---|
| Medicare Enrollment ID | O20240715000142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447989603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Lynette Gray Davis |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144578030 PECOS PAC ID: 3274078076 Enrollment ID: I20240717001103 |
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