Healthcare Provider Details

I. General information

NPI: 1013846971
Provider Name (Legal Business Name): WELLNESS KEY LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6512 SIX FORKS RD STE 200
RALEIGH NC
27615-6525
US

IV. Provider business mailing address

6512 SIX FORKS RD STE 200
RALEIGH NC
27615-6525
US

V. Phone/Fax

Practice location:
  • Phone: 910-473-9109
  • Fax:
Mailing address:
  • Phone: 910-473-9109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KEONAH LUCAS
Title or Position: FOUNDER & EXECUTIVE DIRECTOR
Credential:
Phone: 919-758-1237