Organization
DEVANG FAMILY SERVICES
Active
Other names
Ellie Mental Health-Raleigh
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMANTHA SIMON PHD, LCMHC, NCC (CLINIC DIRECTOR)
(704) 991-5159
Entity
Organization
Contact information
Practice address
2709 BLUE RIDGE RD STE 190, RALEIGH, NC 27607-0113
(571) 274-8132
Mailing address
2709 BLUE RIDGE RD, STE 190, RALEIGH, NC 27607
(919) 322-0140
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2023
Last updated
03/12/2024
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