MEDICARE: SELENA WAITE LPA, LCMHC, HSP-PA

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	101YP2500X	Professional Counselor	11931	NC
2	103T00000X	Psychologist	5371	NC
3	101YM0800X	Mental Health Counselor	11931	NC

General Provider Information

NPI Number	:	1730632506
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SELENA WAITE LPA, LCMHC, HSP-PA

Provider Business Mailing Address
First Line	:	2309 NEBO ST
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-4231
Country	:	US
Telephone Number	:	919-884-1108
Fax Number	:

Provider Business Practice Location Address
First Line	:	2310 S MIAMI BLVD STE 142
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27703-4900
Country	:	US
Telephone Number	:	984-212-7373
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2016
Last Update Date	:	07/28/2023

Similar Medicare Providers

1982777173 — COORDINATED HEALTH SERVICES, INC.
Practice Location Address:

2310 S MIAMI BLVD STE 235
DURHAM, NC
27703-4900

Practice Phone: 919-484-7819
Practice Fax: 919-484-2189

1700117322 — ULTIMATE TURN@ROUND SERVICES INC
Practice Location Address:

2310 S MIAMI BLVD STE 140
DURHAM, NC
27703-4900

Practice Phone: 919-544-6767
Practice Fax: 919-544-7979

1093378382 — WAITE PSYCHOLOGICAL & THERAPEUTIC SERVICES
Practice Location Address:

2310 S MIAMI BLVD STE 142
DURHAM, NC
27703-4900

Practice Phone: 984-212-7373
Practice Fax:

1427681691 — FAITH HORIZON COUNSELING LLC
Practice Location Address:

2310 S MIAMI BLVD STE 232
DURHAM, NC
27703-4900

Practice Phone: 919-702-3652
Practice Fax:

1093494817 — MR. MERVIN L BRANDY JR. MSW, LCSWA
Practice Location Address:

2310 S MIAMI BLVD STE 231
DURHAM, NC
27703-4900

Practice Phone: 336-647-5010
Practice Fax:

1720818818 — DDP THERAPY & CONSULTING
Practice Location Address:

2310 S MIAMI BLVD STE 142
DURHAM, NC
27703-4900

Practice Phone: 704-931-8602
Practice Fax:

Directions to “ SELENA WAITE LPA, LCMHC, HSP-PA” 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.