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Organization

WAKE PSYCHIATRY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELLIE MORRIS TOLIN (CHIEF MEDICAL OFFICER)
(919) 322-2413
Entity
Organization

Contact information

Practice address
1500 SUNDAY DR STE 102, RALEIGH, NC 27607-5151
(919) 322-2413
(919) 322-2416
Mailing address
1500 SUNDAY DR STE 102, RALEIGH, NC 27607-5151
(919) 322-2413
(919) 322-2416

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
04/27/2011
Last updated
04/10/2026
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