| Elysian Therapeutics Llc | |
|
1801 Fayetteville Street Ste 19855c Durham NC 27707 | |
| (919) 638-2819 | |
| Not Available |
| Full Name | Elysian Therapeutics Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1801 Fayetteville Street, Durham, North Carolina |
| Authorized Official Name and Position | Rhoda Hormenoo (SENIOR VICE PRESIDENT OF OPERATIONS) |
| Authorized Official Contact | 9196382819 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysian Therapeutics Llc 1801 Fayetteville Street Ste 19855c Durham NC 27707 Ph: (919) 638-2819 | Elysian Therapeutics Llc 1801 Fayetteville Street Ste 19855c Durham NC 27707 Ph: (919) 638-2819 |
| NPI Number | 1396531125 |
|---|---|
| Provider Enumeration Date | 04/17/2025 |
| Last Update Date | 04/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396531125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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