Healthcare Provider Details

I. General information

NPI: 1336067727
Provider Name (Legal Business Name): OPAL & OAK PSYCHIATRY AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 BENSON RD STE 225
GARNER NC
27529-3397
US

IV. Provider business mailing address

500 BENSON RD STE 225
GARNER NC
27529-3397
US

V. Phone/Fax

Practice location:
  • Phone: 252-381-3152
  • Fax: 252-680-4071
Mailing address:
  • Phone: 252-381-3152
  • Fax: 252-680-4071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MONEJAH KING
Title or Position: OWNER/FOUNDER
Credential: MSN, APRN, PMHNP-BC
Phone: 919-923-9353