Healthcare Provider Details

I. General information

NPI: 1013802883
Provider Name (Legal Business Name): CONNER E SCHRAN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2011 CHAPEL HILL RD
DURHAM NC
27707-1109
US

IV. Provider business mailing address

2011 CHAPEL HILL RD
DURHAM NC
27707-1109
US

V. Phone/Fax

Practice location:
  • Phone: 919-341-6111
  • Fax:
Mailing address:
  • Phone: 877-284-7074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLCAS-30761
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP022150
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: