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Organization
ENRICHED PSYCHOTHERAPEUTIC SERVICES PLLC
Active
Organization
ENRICHED PSYCHOTHERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANEISHA BROWN LCSW, LCAS, CDAC (CHIEF OPERATING OFFICE)
(252) 917-2033
Entity
Organization
Contact information
Practice address
3993 HOPE VALLEY DR, WAKE FOREST, NC 27587-8519
(252) 717-7782
Mailing address
10 PADDOCKS CT, ZEBULON, NC 27597-5520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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