Healthcare Provider Details
I. General information
NPI: 1508793142
Provider Name (Legal Business Name): ANAM CARA WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4601 LAKE BOONE TRL STE 3A
RALEIGH NC
27607-7518
US
IV. Provider business mailing address
60 LINNETT CT # 3A
YOUNGSVILLE NC
27596-7300
US
V. Phone/Fax
- Phone: 984-230-2416
- Fax: 984-220-9339
- Phone: 262-483-7219
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SHARI
LYNN
SCOTT
Title or Position: NURSE PRACTITIONER
Credential: PMHNP-BC
Phone: 984-230-2416