CREECH ROAD SUPERVISED GARE is a mental health counselor in Raleigh, NC. CREECH ROAD SUPERVISED GARE NPI is 1689918641. The provider is registered as an organization entity type and is a multi-specialty group. The provider Is Doing Business As Ezekiel Wilson.
The provider's business location address is:
311 NEW BERN AVE # 27991 RALEIGH, NC ZIP 27611-801 Phone: (919) 961-1392
The provider's authorized official is Ezekiel Wilson . The authorized official title is Owner and has the following contact phone number (919) 961-1392.
The enumeration date for this NPI number is 11/15/2012 and was last updated on 11/15/2012.
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:
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: 11/21/2025
NPI Synchronization or Removal
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