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Organization
TONYA OMAR, PLLC
Active
Organization
TONYA OMAR, PLLC
Active
Other names
The Aya Center
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA CROCKETT OMAR MA, LPA (OWNER)
(919) 402-8738
Entity
Organization
Contact information
Practice address
2634 DURHAM CHAPEL HILL BLVD STE 4, DURHAM, NC 27707-2877
(919) 402-8738
(919) 869-2341
Mailing address
2634 DURHAM CHAPEL HILL BLVD STE 4, DURHAM, NC 27707-2877
(919) 402-8738
(919) 869-2341
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2523
NC
2084P0800X
Psychiatry Physician
17981
NC
208D00000X
General Practice Physician
17981
NC
251S00000X
Community/Behavioral Health Agency
Primary
2523
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5915600
—
NC
05
—
6006122
—
NC
05
—
6107722
—
NC
05
—
8301525
—
NC
Enumeration date
10/02/2007
Last updated
05/15/2019
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