Individual
ALLY URBAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6512 SIX FORKS RD BLDG 5, RALEIGH, NC 27615-6561
(814) 923-1355
Mailing address
6512 SIX FORKS RD BLDG 5, RALEIGH, NC 27615-6561
(814) 923-1355
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A22942
NC
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
05/31/2026
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