Healthcare Provider Details

I. General information

NPI: 1588504120
Provider Name (Legal Business Name): DEETOX PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W BARBEE CHAPEL RD STE 309
CHAPEL HILL NC
27517-7892
US

IV. Provider business mailing address

301 W BARBEE CHAPEL RD STE 309
CHAPEL HILL NC
27517-7892
US

V. Phone/Fax

Practice location:
  • Phone: 919-897-7287
  • Fax:
Mailing address:
  • Phone: 919-897-7287
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. HELEN POWELL BODE
Title or Position: FOUNDER, OWNER, MEDICAL DIRECTOR
Credential: MD
Phone: 336-214-0008