Healthcare Provider Details

I. General information

NPI: 1669309316
Provider Name (Legal Business Name): ZELOPHEHAD BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

2403 LEDNUM ST
DURHAM NC
27705-3440
US

IV. Provider business mailing address

710 MARTRY RD
DURHAM NC
27713-7220
US

V. Phone/Fax

Practice location:
  • Phone: 919-332-6358
  • Fax:
Mailing address:
  • Phone: 919-332-6358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SUZETTE SPENCE
Title or Position: COO
Credential:
Phone: 919-332-6358