Healthcare Provider Details

I. General information

NPI: 1013846435
Provider Name (Legal Business Name): ANAM CARA WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 LAKE BOONE TRL
RALEIGH NC
27607-7512
US

IV. Provider business mailing address

4201 LAKE BOONE TRL
RALEIGH NC
27607-7512
US

V. Phone/Fax

Practice location:
  • Phone: 984-230-2416
  • Fax: 984-220-9339
Mailing address:
  • Phone: 984-230-2416
  • Fax: 984-220-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: SHARI SCOTT
Title or Position: PMHNP-BC
Credential:
Phone: 262-483-7219