# RELIEF INTEGRATED HEALTHCARE

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

## Provider details

- **NPI number:** 1184143224
- **Authorized official:** DR. CONNIE HICKS DNP, NP, D-PMHNP (CEO)
- **Authorized official phone:** (919) 422-2359

## Contact information

- **Practice address:** 109 JOLLY ST, LOUISBURG, NC 27549-2239
- **Practice address phone:** (919) 791-7745
- **Mailing address:** 3213 JESELLA DR, RALEIGH, NC 27610-5556
- **Mailing address phone:** (919) 422-2359

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | 5004262 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5004262 | NC | Yes |

## Other

- **Enumeration date:** 09/10/2017
- **Last updated:** 09/10/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7004376 | — | NC |