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Nicole Lee Davis, Pllc
Children's Substance Abuse Rehabilitation Facility in Sanford, North Carolina
NPI 1700651437

Nicole Lee Davis, Pllc is a Children's Substance Abuse Rehabilitation Facility based in Sanford, NC and is specialized in Substance Abuse Treatment, Children. Nicole Lee Davis, Pllc practices in Sanford, NC. The NPI Number for Nicole Lee Davis, Pllc is 1700651437 and holds a License No. (North Carolina).

The current practice location address for Nicole Lee Davis, Pllc is 319 Court Sq, Sanford, NC and can be reached out via phone at 336-501-6665.

Location: 319 Court Sq, Sanford, NC, 27330-3759
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700651437
Provider Name
Nicole Lee Davis, Pllc
Credential
Provider Entity Type
Organization
Address
319 Court Sq, Sanford, NC, 27330-3759
Phone Number
336-501-6665
Fax Number
Provider Enumeration Date
11/22/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
319 Court Sq
City
Sanford
State
North Carolina
Zip
27330-5658
Phone Number
336-501-6665
Fax Number
person
Provider Business Mailing Address Details
Address
319 Court Sq
City
Sanford
State
North Carolina
Zip
27330-5658
Phone Number
336-501-6665
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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