Healthcare Provider Details

I. General information

NPI: 1669356333
Provider Name (Legal Business Name): TENAVA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3211 SHANNON RD STE 108
DURHAM NC
27707-6324
US

IV. Provider business mailing address

3211 SHANNON RD STE 108
DURHAM NC
27707-6324
US

V. Phone/Fax

Practice location:
  • Phone: 919-665-8987
  • Fax: 984-292-1429
Mailing address:
  • Phone: 919-665-8987
  • Fax: 984-292-1429

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: TABATHA EVA MOORE
Title or Position: CEO, FOUNDER
Credential:
Phone: 919-844-7770