Healthcare Provider Details

I. General information

NPI: 1235056722
Provider Name (Legal Business Name): NKL PERFORMANCE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8300 HEALTH PARK STE 201
RALEIGH NC
27615-4731
US

IV. Provider business mailing address

8300 HEALTH PARK STE 201
RALEIGH NC
27615-4731
US

V. Phone/Fax

Practice location:
  • Phone: 984-259-3042
  • Fax:
Mailing address:
  • Phone: 984-259-3042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN NICKEL BROOKS
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 984-259-3042