Organization
INNERPATH
Active
Other names
InnerPath Family Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA KENYON LCSW (OWNER/ MEMBER)
(919) 301-0054
Entity
Organization
Contact information
Practice address
5840 FARINGDON PL, RALEIGH, NC 27609-3930
(919) 301-0054
(919) 347-8606
Mailing address
5840 FARINGDON PL, RALEIGH, NC 27609-3930
(919) 301-0054
(919) 347-8606
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C005512
NC
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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