Organization
WAKE PSYCHIATRY, PLLC
Active
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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