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NPI Code Detail

MEDICARE: LUCY DANIELS CENTER

MEDICARE: LUCY DANIELS CENTER
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 : 1598693665
Entity Type Code : Organization
Provider Name (Legal Business Name) : LUCY DANIELS CENTER
Provider Business Mailing Address
First Line : 9003 WESTON PKWY
Second Line :
City : CARY
State : NC
Zip : 27513-2201
Country : US
Telephone Number : 919-677-1400
Fax Number : 919-677-1489
Provider Business Practice Location Address
First Line : 9003 WESTON PKWY
Second Line :
City : CARY
State : NC
Zip : 27513-2201
Country : US
Telephone Number : 919-677-1400
Fax Number : 919-677-1489
Authorized Official
Title or Position : MENTAL HEALTH CLINICIAN, SECUREPATH
Name : MIA MACKIE
Credential :
Telephone Number : 910-280-4504
Provider Enumeration Date : 05/11/2026
Last Update Date : 05/11/2026

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1417002262 — THE LUCY DANIELS CENTER FOR EARLY CHILDHOOD
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Practice Fax: 919-677-1489

Directions to “LUCY DANIELS CENTER ” Practice Location

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