| Pearl Psychedelic Institute | |
|
55 Academy St Waynesville NC 28786-3701 | |
| (828) 507-1421 | |
| (828) 412-0225 |
| Full Name | Pearl Psychedelic Institute |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 55 Academy St, Waynesville, North Carolina |
| Authorized Official Name and Position | Raymond Carroll Turpin (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8282262352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Psychedelic Institute Po Box 1016 Waynesville NC 28786-1016 Ph: () - | Pearl Psychedelic Institute 55 Academy St Waynesville NC 28786-3701 Ph: (828) 507-1421 |
| NPI Number | 1518724202 |
|---|---|
| Provider Enumeration Date | 02/29/2024 |
| Last Update Date | 09/16/2024 |
| Certification Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518724202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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