| Wake Integrative Behavioral Medicine, Pc | |
|
1107 Seven Lakes Drive Seven Lakes NC 27376 | |
| (414) 847-9351 | |
| (888) 227-7795 |
| Full Name | Wake Integrative Behavioral Medicine, Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1107 Seven Lakes Drive, Seven Lakes, North Carolina |
| Authorized Official Name and Position | Carol Yvonne Smith (CEO/PRESIDENT/OWNER) |
| Authorized Official Contact | 4148479351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wake Integrative Behavioral Medicine, Pc 80 Blake Blvd Unit 3038 Pinehurst NC 28374-9599 Ph: (414) 847-9351 | Wake Integrative Behavioral Medicine, Pc 1107 Seven Lakes Drive Seven Lakes NC 27376 Ph: (414) 847-9351 |
| NPI Number | 1295254399 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295254399 | NPI | - | NPPES |
| 3503 | Other | NC | MY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3503 (North Carolina) | Primary |
Smith Psychological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1107 Seven Lakes Drive, Seven Lakes, NC 27376 Phone: 910-778-2427 Fax: 910-673-5775 |