34D2136287 CLIA NUMBER - LIVING WELL BEHAVORIAL HEALTH, INC

Laboratory Demographics

CLIA Number: 34D2136287

Facility Name: LIVING WELL BEHAVORIAL HEALTH, INC

Facility Address:
502 MCKNIGHT DRIVE, SUITE 201, 202
KNIGHTDALE, NC
ZIP 27545
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Facility Phone Number: 919 803-2111

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1336783711

Taxonomy: 2084P0800X - Psychiatry & Neurology
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

CLIA Record

Field Name	Field Value
CLIA Number	34D2136287
LAB Type	Physician Office
Facility Name	LIVING WELL BEHAVORIAL HEALTH, INC
Street	502 MCKNIGHT DRIVE, SUITE 201, 202
City	KNIGHTDALE
State	NC
ZIP	27545
Phone	919 803-2111
CertificateType	2
CertificateEffectiveDate	5/12/2023
CertificateExpirationDate	5/11/2025
FacilityType	Compliance

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This page was last updated on: 4/23/2024