Healthcare Provider Details

I. General information

NPI: 1730010042
Provider Name (Legal Business Name): SARINA LOVELESS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9350 FALLS OF NEUSE RD STE 205
RALEIGH NC
27615-2481
US

IV. Provider business mailing address

9350 FALLS OF NEUSE RD STE 205
RALEIGH NC
27615-2481
US

V. Phone/Fax

Practice location:
  • Phone: 919-909-1230
  • Fax:
Mailing address:
  • Phone: 919-909-1230
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number21123A
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: