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General NPI Number Information
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NPI Number | 1518826411
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Entity Type | Organization
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Legal Business Name | CAROLINA COGNITIVE AND BEHAVIORAL HEALTH, PLLC
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Dates
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Enumeration Date | 01/17/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2004 HEISSER LN
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City | FUQUAY VARINA
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State | NC
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Zip | 27526-3280
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Country | US
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Telephone | 984-400-2048
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Fax |
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Provider Business Mailing Address
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Address Line | 300 S MAIN ST STE 212
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-4201
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | JAIME HAVAH ELIANA MICHAELS
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Credential | DNP, MSN, PMHNP-BC
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Telephone | 984-400-2048
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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