# HIS MERCIES HOMES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144076514
- **Authorized official:** JULIE O ADEYI-ADEYEMI (ADMISTRATOR)
- **Authorized official phone:** (347) 595-4122

## Contact information

- **Practice address:** 105 PRIMROSE LN, CLAYTON, NC 27520-5634
- **Practice address phone:** (919) 989-8015
- **Practice address fax:** (919) 989-8015
- **Mailing address:** 105 PRIMROSE LN, CLAYTON, NC 27520-5634
- **Mailing address phone:** (919) 989-8015
- **Mailing address fax:** (919) 989-8015

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/26/2024
- **Last updated:** 04/26/2024