| Insight Family Center | |
|
5884 Faringdon Pl Ste 200 Raleigh NC 27609-3932 | |
| (919) 452-3600 | |
| Not Available |
| Full Name | Insight Family Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5884 Faringdon Pl Ste 200, Raleigh, North Carolina |
| Authorized Official Name and Position | Terrill James (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 9194523600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Family Center 4912 Four Sons Ct Raleigh NC 27610-3075 Ph: (919) 452-3600 | Insight Family Center 5884 Faringdon Pl Ste 200 Raleigh NC 27609-3932 Ph: (919) 452-3600 |
| NPI Number | 1518232560 |
|---|---|
| Provider Enumeration Date | 03/08/2012 |
| Last Update Date | 03/08/2012 |
| Medicare PECOS PAC ID | 9436387362 |
|---|---|
| Medicare Enrollment ID | O20140122000930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518232560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
| Provider Name | Immacula Saint Louis |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356449144 PECOS PAC ID: 9234104506 Enrollment ID: I20120730000643 |
| Provider Name | Shawtay D Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245674605 PECOS PAC ID: 2961710637 Enrollment ID: I20150929002270 |
| Provider Name | Christopher Cody Deviney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740831239 PECOS PAC ID: 5092104646 Enrollment ID: I20211119001362 |
| Provider Name | Terrill James |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689929192 PECOS PAC ID: 6608004536 Enrollment ID: I20240419001931 |
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