Organization
SIMPLY WELL THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALLORI THOMPSON (GENERAL MANAGER)
(919) 410-6566
Entity
Organization
Contact information
Practice address
4070 BARRETT DR, RALEIGH, NC 27609-6604
(919) 410-6566
Mailing address
4070 BARRETT DR, RALEIGH, NC 27609-6604
(919) 410-6566
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
08/24/2021
Last updated
12/11/2021
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