Organization · Type 2 NPI
Provisions2live Behavioral Health PLLC
Psychiatric/Mental Health Clinical Nurse Specialist · Durham, NC
NPI number
1073255055
Active
Practice location
3622 Lyckan Pkwy Ste 4006
Durham, NC 27707-2566
Fax (919) 910-5668
Other practice locations
- 554 N Main St Ste 103, South Boston, VA 24592-3283 · (919) 390-1398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist Primary | 364SP0808X | None listed |
Psychiatric/Mental Health Clinical Nurse Specialist: Definition to come...
Another provider at this address
About NPI 1073255055
Provisions2live Behavioral Health PLLC's National Provider Identifier is 1073255055, issued on Apr 11, 2022. The primary taxonomy on file is Psychiatric/Mental Health Clinical Nurse Specialist (364SP0808X), and the practice location is in Durham, NC. The record was last updated on Aug 28, 2026.