Healthcare Provider Details
I. General information
NPI: 1689260291
Provider Name (Legal Business Name): BEST DAY PSYCHIATRY AND COUNSELING, PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2020
Last Update Date: 12/17/2020
Certification Date: 12/17/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2601 IRON GATE DR STE 204
WILMINGTON NC
28412-6624
US
IV. Provider business mailing address
2587 RAVENHILL DR
FAYETTEVILLE NC
28303-5451
US
V. Phone/Fax
- Phone: 910-323-1543
- Fax: 910-483-2026
- Phone: 910-323-1545
- Fax: 910-483-2026
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ROBERT
K
MATLACK
Title or Position: OWNER, PHYSICIAN
Credential: MD
Phone: 910-323-1545