Healthcare Provider Details

I. General information

NPI: 1639003981
Provider Name (Legal Business Name): FAMILY HEALING BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 MEADOW EDGE TRL APT 1C
WHITSETT NC
27377-8756
US

IV. Provider business mailing address

804 MEADOW EDGE TRL APT 1C
WHITSETT NC
27377-8756
US

V. Phone/Fax

Practice location:
  • Phone: 919-920-2082
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY WOODARD II
Title or Position: CO BUSINESS OWNER
Credential:
Phone: 919-920-2082