Organization
CHANGE AWAITS YOU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RAVEN NEAL LCSW (MENTAL HEALTH THERAPIST)
(919) 426-6030
Entity
Organization
Contact information
Practice address
7417 KNIGHTDALE BLVD, SUITE 108, KNIGHTDALE, NC 27545-8824
(919) 426-6030
Mailing address
PO BOX 964, WAKE FOREST, NC 27588-0964
(919) 426-6030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C007264
NC
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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