| Three Oaks Behavioral Health & Wellness | |
|
1013 Bullard Ct Ste 102 Raleigh NC 27615-6801 | |
| (252) 430-4466 | |
| Not Available |
| Full Name | Three Oaks Behavioral Health & Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1013 Bullard Ct Ste 102, Raleigh, North Carolina |
| Authorized Official Name and Position | Casie Hall (OWNER) |
| Authorized Official Contact | 2524304466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Three Oaks Behavioral Health & Wellness 1013 Bullard Ct Ste 102 Raleigh NC 27615-6801 Ph: (252) 430-4466 | Three Oaks Behavioral Health & Wellness 1013 Bullard Ct Ste 102 Raleigh NC 27615-6801 Ph: (252) 430-4466 |
| NPI Number | 1528563194 |
|---|---|
| Provider Enumeration Date | 03/27/2018 |
| Last Update Date | 03/27/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528563194 | NPI | - | NPPES |
| 11825 | Other | NC | NORTH CAROLINA BOARD OF LICENSED PROFESSIONAL COUNSELORS |
| LCAS-21329 | Other | NC | NORTH CAROLINA SUBSTANCE ABUSE PROFESSIONAL PRACTICE BOARD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-21329 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 11825 (North Carolina) | Primary |
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