Organization
RAVEN THERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY GARNETT (OWNER, THERAPIST)
(910) 787-1688
Entity
Organization
Contact information
Practice address
2444 COMMERCE RD STE 120, JACKSONVILLE, NC 28546-7561
(910) 787-1688
(910) 338-3135
Mailing address
2444 COMMERCE RD STE 120, JACKSONVILLE, NC 28546-7561
(910) 787-1688
(910) 338-3135
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
04/11/2025
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