Healthcare Provider Details

I. General information

NPI: 1487907762
Provider Name (Legal Business Name): ALL ABOUT U, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2012
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 OKEEFE CT
DURHAM NC
27712-1455
US

IV. Provider business mailing address

2605 CARVER ST STE. CW
DURHAM NC
27705-2720
US

V. Phone/Fax

Practice location:
  • Phone: 919-225-8016
  • Fax:
Mailing address:
  • Phone: 919-225-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. TRAVIS CORNELIUS SPELLER
Title or Position: OWNER
Credential: QP
Phone: 919-225-8016