MEDICARE: CULTIVATE HARMONY- CLINICAL AND COACHING SERVICES 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1538022462
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CULTIVATE HARMONY- CLINICAL AND COACHING SERVICES PLLC

Provider Business Mailing Address
First Line	:	2920 FORESTVILLE RD- SUITE 100
Second Line	:	PMB #1014
City	:	RALEIGH
State	:	NC
Zip	:	27616
Country	:	US
Telephone Number	:	646-425-9850
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 ASPEN MOUNTAIN CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616
Country	:	US
Telephone Number	:	646-425-9850
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST
Name	:	MS. DYNIKA M DAVIS
Credential	:	LCSWA
Telephone Number	:	646-425-9850

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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