Healthcare Provider Details

I. General information

NPI: 1235455247
Provider Name (Legal Business Name): M AND H THERAPY AND CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2010
Last Update Date: 05/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

313 W SYCAMORE ST # B
ZEBULON NC
27597-2530
US

IV. Provider business mailing address

PO BOX 1383
WENDELL NC
27591-1383
US

V. Phone/Fax

Practice location:
  • Phone: 919-390-4429
  • Fax: 919-266-0301
Mailing address:
  • Phone: 919-390-4429
  • Fax: 919-266-0301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: MR. OLLIE DENNIS HOOKER
Title or Position: GENERAL ADVISOR
Credential:
Phone: 919-610-7892