Healthcare Provider Details
I. General information
NPI: 1477506343
Provider Name (Legal Business Name): BEST DAY PSYCHIATRY AND COUNSELING, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2587 RAVENHILL DR
FAYETTEVILLE NC
28303-5451
US
IV. Provider business mailing address
2587 RAVENHILL DR
FAYETTEVILLE NC
28303-5451
US
V. Phone/Fax
- Phone: 910-323-1543
- Fax: 910-485-1257
- Phone: 910-323-1543
- Fax: 910-485-1257
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 4894 |
| License Number State | NC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 3566 |
| License Number State | NC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | 4616 |
| License Number State | NC |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 2775 |
| License Number State | NC |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 3148 |
| License Number State | NC |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | C000342 |
| License Number State | NC |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
| # 8 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TP0016X |
| Taxonomy | Prescribing (Medical) Psychologist |
| License Number | 200201282 |
| License Number State | NC |
VIII. Authorized Official
Name: DR.
ROBERT
K
MATLACK
Title or Position: OWNER
Credential: MD
Phone: 910-323-1543