Healthcare Provider Details

I. General information

NPI: 1730001504
Provider Name (Legal Business Name): RACHEL LORRAINE DINUNZIO QMHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 N BROAD ST E STE 201
ANGIER NC
27501-5638
US

IV. Provider business mailing address

8 N BROAD ST E STE 201
ANGIER NC
27501-5638
US

V. Phone/Fax

Practice location:
  • Phone: 919-375-8392
  • Fax: 919-460-3118
Mailing address:
  • Phone: 919-375-8392
  • Fax: 919-460-3118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: