NPI Code Details Logo

NPI 1235703968

NPI 1235703968 : FINDING DORI BEHAVIORAL WELLNESS CENTER, PLLC : FAYETTEVILLE, NC

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1235703968
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    FINDING DORI BEHAVIORAL WELLNESS CENTER, PLLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/17/2021
-----------------------------------------------------
    Last Update Date     |    03/14/2023
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3201 ROUSE DR 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28306-8324
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-436-8510
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3201 ROUSE DR 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    NC
-----------------------------------------------------
    Zip                  |    28306-8324
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    800-436-8510
-----------------------------------------------------
    Fax                  |    919-651-4735
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    INSURANCE MANAGER
-----------------------------------------------------
    Name                 |    MRS. ILAR  DAVIDSON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    828-612-4383
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.