Healthcare Provider Details
I. General information
NPI: 1710710694
Provider Name (Legal Business Name): ONOFREI PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/26/2024
Last Update Date: 08/26/2024
Certification Date: 08/26/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1829 E FRANKLIN ST OFC E-2
CHAPEL HILL NC
27514-5861
US
IV. Provider business mailing address
1152 GREAT RIDGE PKWY
CHAPEL HILL NC
27516-4097
US
V. Phone/Fax
- Phone: 617-378-8628
- Fax:
- Phone: 617-378-8628
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CRISTIAN
REMUS
ONOFREI
Title or Position: MEMBER
Credential: PHD
Phone: 617-378-8628