Healthcare Provider Details

I. General information

NPI: 1679282719
Provider Name (Legal Business Name): MICHELLE STERN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2022
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PARK OFFICES DR STE 300
DURHAM NC
27709-1012
US

IV. Provider business mailing address

600 PARK OFFICES DR STE 300
DURHAM NC
27709-1012
US

V. Phone/Fax

Practice location:
  • Phone: 843-941-9260
  • Fax:
Mailing address:
  • Phone: 843-941-9260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number8069
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: