Organization
CLASSICAL PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIAM ELSHENAWY (PRESIDENT)
(919) 825-0388
Entity
Organization
Contact information
Practice address
421 FAYETTEVILLE ST, SUITE 1100, RALEIGH, NC 27601
(919) 825-0388
Mailing address
421 FAYETTEVILLE ST, SUITE 1100, RALEIGH, NC 27601
(919) 825-0388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
11/16/2021
Last updated
11/06/2024
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