Healthcare Provider Details

I. General information

NPI: 1659200731
Provider Name (Legal Business Name): TIMBERLAKE PSYCHIATRIC SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 CLOISTER CT STE B
CHAPEL HILL NC
27514-2276
US

IV. Provider business mailing address

326 CLOISTER CT STE B
CHAPEL HILL NC
27514-2276
US

V. Phone/Fax

Practice location:
  • Phone: 919-636-9606
  • Fax:
Mailing address:
  • Phone: 919-636-9606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. LAURIE TIMBERLAKE
Title or Position: OWNER
Credential: NP
Phone: 919-636-9606