| Raleigh Wellness Behavioral Health | |
|
4909 Waters Edge Dr Ste 100 Raleigh NC 27606-2462 | |
| (919) 589-1204 | |
| (919) 589-1264 |
| Full Name | Raleigh Wellness Behavioral Health |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4909 Waters Edge Dr Ste 100, Raleigh, North Carolina |
| Authorized Official Name and Position | Danielle Neketa Harris Partin (OWNER) |
| Authorized Official Contact | 9195891204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raleigh Wellness Behavioral Health 4909 Waters Edge Dr Ste 100 Raleigh NC 27606-2462 Ph: (919) 589-1204 | Raleigh Wellness Behavioral Health 4909 Waters Edge Dr Ste 100 Raleigh NC 27606-2462 Ph: (919) 589-1204 |
| NPI Number | 1003556473 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 6507244498 |
|---|---|
| Medicare Enrollment ID | O20220606001286 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003556473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Corilin N Meggitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558819516 PECOS PAC ID: 4082993282 Enrollment ID: I20161110001610 |
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