Healthcare Provider Details

I. General information

NPI: 1851219448
Provider Name (Legal Business Name): NAYARA THERAPY COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 CHAMPION CT
RALEIGH NC
27606-2018
US

IV. Provider business mailing address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

V. Phone/Fax

Practice location:
  • Phone: 919-523-4439
  • Fax:
Mailing address:
  • Phone: 919-523-4439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CALIE EDMONDS
Title or Position: OWNER
Credential:
Phone: 919-523-4439