Organization
INNERFOUNDATIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LA VERA BROWN LPC (PRESIDENT)
(919) 345-4664
Entity
Organization
Contact information
Practice address
316 W MILLBROOK RD STE 109, RALEIGH, NC 27609-4482
(919) 847-6514
Mailing address
316 W MILLBROOK RD STE 109, RALEIGH, NC 27609-4482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005953
—
NC
Enumeration date
02/21/2007
Last updated
08/22/2020
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