MEDICARE: FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2365	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	141VT	OTHER	NC	INDEPENDENT MENTAL HEALTH
2	8268	OTHER	NC	PREFERRED PROVIDER
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1235352717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC

Provider Business Mailing Address
First Line	:	6129 REMINGTON LAKE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-6233
Country	:	US
Telephone Number	:	919-875-1374
Fax Number	:	919-954-7051

Provider Business Practice Location Address
First Line	:	6129 REMINGTON LAKE DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-6233
Country	:	US
Telephone Number	:	919-875-1374
Fax Number	:	919-954-7051

Authorized Official
Title or Position	:	DIRECTOR, OUT-PATIENT THERAPIST
Name	:	MS. DOROTHY ANN GLASSE
Credential	:	M.ED, MA, LPC, LCAS
Telephone Number	:	919-875-1374

Provider Enumeration Date	:	04/11/2007
Last Update Date	:	06/12/2008

Similar Medicare Providers

1639907637 — DOROTHY ANN GLASSE LCMHC
Practice Location Address:

6129 REMINGTON LAKE DR
RALEIGH, NC
27616-6233

Practice Phone: 919-875-1374
Practice Fax:

1346125911 — OLIVIA LOVERDI
Practice Location Address:

8504 DARTON WAY STE 101
RALEIGH, NC
27616-9317

Practice Phone: 919-341-3008
Practice Fax:

1275260010 — SARAH KING
Practice Location Address:

8701 WADFORD DR
RALEIGH, NC
27616-9028

Practice Phone: 984-247-1772
Practice Fax:

1831062587 — CHELSEA ELIZABETH ADKINS NP
Practice Location Address:

6531 MERIDIEN DR STE 113
RALEIGH, NC
27616-8892

Practice Phone: 800-465-3203
Practice Fax:

1891648135 — SUN ROOTS THERAPY, PLLC
Practice Location Address:

5205 DEEP CHANNEL DR
RALEIGH, NC
27616-6862

Practice Phone: 872-356-6955
Practice Fax:

1801571138 — COURTNEY E RUDD LCSW
Practice Location Address:

4805 GREEN RD STE 103
RALEIGH, NC
27616-2848

Practice Phone: 919-872-6220
Practice Fax: 919-872-6223

Directions to “FAMILY MENTAL HEALTH SERVICES, INC. OF RALEIGH. NC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.