Healthcare Provider Details

I. General information

NPI: 1598693665
Provider Name (Legal Business Name): LUCY DANIELS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9003 WESTON PKWY
CARY NC
27513-2201
US

IV. Provider business mailing address

9003 WESTON PKWY
CARY NC
27513-2201
US

V. Phone/Fax

Practice location:
  • Phone: 919-677-1400
  • Fax: 919-677-1489
Mailing address:
  • Phone: 919-677-1400
  • Fax: 919-677-1489

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MIA MACKIE
Title or Position: MENTAL HEALTH CLINICIAN, SECUREPATH
Credential:
Phone: 910-280-4504