Healthcare Provider Details

I. General information

NPI: 1285156935
Provider Name (Legal Business Name): DINA SAKYI-ADDO MENSAH LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8310 BELLVIEW CT APT 101
RALEIGH NC
27613-5819
US

IV. Provider business mailing address

8310 BELLVIEW CT 101
RALEIGH NC
27613
US

V. Phone/Fax

Practice location:
  • Phone: 919-400-1147
  • Fax:
Mailing address:
  • Phone: 919-400-1147
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: