1326798935 NPI number — KARUNA COUNSELING AND WELLNESS, PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326798935 NPI number — KARUNA COUNSELING AND WELLNESS, PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KARUNA COUNSELING AND WELLNESS, PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1326798935
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/25/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4801 GLENWOOD AVENUE
Provider Second Line Business Mailing Address:
SUITE 200, #827
Provider Business Mailing Address City Name:
RALEIGH
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-812-1843
Provider Business Mailing Address Fax Number:
910-407-9057

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 GLENWOOD AVENUE
Provider Second Line Business Practice Location Address:
SUITE 200, #827
Provider Business Practice Location Address City Name:
RALEIGH
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-812-1843
Provider Business Practice Location Address Fax Number:
910-407-9057
Provider Enumeration Date:
03/25/2022

Additional Information

Authorized Official

Authorized Official Last Name:
WHITE
Authorized Official First Name:
COURTNEY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
910-812-1843

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YP2500X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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