Organization
EPIPHANY MENTAL HEALTH SERVICES, LLC
Active
Parent organization
EPIPHANY MENTAL HEALTH SERVICES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EPIPHANY MENTAL HEALTH SERVICES, LLC
Authorized official
MS. DIANNE FAYE WILLIAMS LPC (OWNER/THERAPIST)
(252) 435-5016
Entity
Organization
Contact information
Practice address
916 BRANCH ST, ROCKY MOUNT, NC 27801-5708
(252) 985-0078
(252) 446-6645
Mailing address
916 BRANCH ST, ROCKY MOUNT, NC 27801-5708
(252) 985-0078
(252) 446-6645
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
5054
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103211
—
NC
Enumeration date
03/12/2015
Last updated
03/12/2015
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