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COUNTY OF WAKE NPI 1972628972


NPI Information

NPI: 1972628972
Provider Name: COUNTY OF WAKE

Doing Business As: WCHS MHDDSA MULTISPECIALTY GROUP

Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
3000 FALSTAFF RD
RALEIGH, NC
ZIP 27610
Phone: (919) 212-7000
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COUNTY OF WAKE is an addiction (substance use disorder) counselor in Raleigh, NC. COUNTY OF WAKE NPI is 1972628972. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wchs Mhddsa Multispecialty Group.

The provider's business location address is:

3000 FALSTAFF RD
RALEIGH, NC
ZIP 27610-813
Phone: (919) 212-7000
Fax: (919) 250-3943

The provider's authorized official is Peter J Morris .
The authorized official title is Medical Director and has the following contact phone number (919) 250-3813.

The enumeration date for this NPI number is 3/20/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes
2101YP2500XCounselorProfessionalX
3103T00000XPsychologistX
4103TC0700XPsychologistClinicalX
51041C0700XSocial WorkerClinicalX
6106H00000XMarriage & Family TherapistX
7251S00000XCommunity/Behavioral HealthX
8363LP0808XNurse PractitionerPsychiatric/Mental HealthX
9364SP0807XClinical Nurse SpecialistPsychiatric/Mental Health, Child & AdolescentX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005555MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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