=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396685699
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALEONOVALLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/30/2026
-----------------------------------------------------
Last Update Date | 03/30/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7000 REGENCY PKWY
-----------------------------------------------------
City | CARY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27518-7731
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 984-268-8264
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 697 GRAND CENTRAL STA
-----------------------------------------------------
City | APEX
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27502-2472
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 984-268-8264
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. CONCETTA LA GATTA
-----------------------------------------------------
Credential | LMT
-----------------------------------------------------
Telephone | 919-348-3758
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------