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NPI Code Detail

MEDICARE: THE BEAUTY OF DREAMS PLLC

MEDICARE: THE BEAUTY OF DREAMS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1326688375
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE BEAUTY OF DREAMS PLLC
Provider Business Mailing Address
First Line : 312 W MILLBROOK RD STE 121
Second Line :
City : RALEIGH
State : NC
Zip : 27609-4398
Country : US
Telephone Number : 984-200-8455
Fax Number : 919-591-0253
Provider Business Practice Location Address
First Line : 4801 GLENWOOD AVE STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27612-3857
Country : US
Telephone Number : 919-675-1764
Fax Number : 919-591-0253
Authorized Official
Title or Position : LICENSED CLINICAL SOCIAL WORKER
Name : MS. BUKOLA OKEOWO
Credential : LCSW,LCASA
Telephone Number : 919-675-1764
Provider Enumeration Date : 01/07/2020
Last Update Date : 05/07/2025

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Directions to “THE BEAUTY OF DREAMS PLLC ” Practice Location

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