Organization
DRAKE THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. STACEY SUSAN DRAKE LCSW (OWNER)
(919) 818-1459
Entity
Organization
Contact information
Practice address
8520 SIX FORKS RD, 104, RALEIGH, NC 27615-3095
(919) 818-1459
Mailing address
7717 ELON DR, RALEIGH, NC 27613-1432
(919) 818-1459
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C000724
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60003639
—
NC
Enumeration date
10/29/2013
Last updated
10/29/2013
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