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Diverse Wellness Solutions Inc
Psychiatric/Mental Health Clinical Nurse Specialist in Fuquay Varina, North Carolina
NPI 1912299173

Diverse Wellness Solutions Inc is a Psychiatric/Mental Health Clinical Nurse Specialist based in Fuquay Varina, NC and is specialized in Psychiatric/Mental Health. Diverse Wellness Solutions Inc practices in Fuquay Varina, NC. The NPI Number for Diverse Wellness Solutions Inc is 1912299173 and holds a License No. 0261495-01 (North Carolina).

The current practice location address for Diverse Wellness Solutions Inc is 7155 Sunset Lake Rd, Fuquay Varina, NC and can be reached out via phone at 919-838-0804 and via fax at 919-838-1219.

Location: 7155 Sunset Lake Rd, Fuquay Varina, NC, 27526-8638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1912299173
Provider Name
Diverse Wellness Solutions Inc
Credential
Provider Entity Type
Organization
Address
7155 Sunset Lake Rd, Fuquay Varina, NC, 27526-8638
Phone Number
919-838-0804
Fax Number
919-838-1219
Provider Enumeration Date
05/06/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NCMC030788 05 NC
6004025 05 NC
527619 01 NC VALUE OPTIONS
NC1277A203 01 NC MEDICARE PTAN
10079 01 NC BCBS
institution
Provider Business Practice Location Address Details
Address
7155 Sunset Lake Rd
City
Fuquay Varina
State
North Carolina
Zip
27526-8638
Phone Number
919-838-0804
Fax Number
919-838-1219
person
Provider Business Mailing Address Details
Address
7155 Sunset Lake Rd
City
Fuquay Varina
State
North Carolina
Zip
27526-8638
Phone Number
919-838-0804
Fax Number
919-838-1219
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
0261495-01 (North Carolina)
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 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
0261495-01 (North Carolina)
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 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
364SP0808X
License No.
0261495-01 (North Carolina)
Definition
Definition to come...
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