Healthcare Provider Details
I. General information
NPI: 1346186947
Provider Name (Legal Business Name): CALM HORIZON INTEGRATIVE PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9408 SHADOW OAK WAY
RALEIGH NC
27615-2254
US
IV. Provider business mailing address
9121 ANSON WAY STE 200
RALEIGH NC
27615-5857
US
V. Phone/Fax
- Phone: 984-646-6195
- Fax:
- Phone: 984-646-6195
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RHODE
DESAUGUSTE
Title or Position: OWNER
Credential:
Phone: 984-646-6195