| Simply Teen Outpatient | |
|
800 W Williams St Ste 203 Apex NC 27502-5200 | |
| (919) 869-5301 | |
| (855) 678-6632 |
| Full Name | Simply Teen Outpatient |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 800 W Williams St Ste 203, Apex, North Carolina |
| Authorized Official Name and Position | Tina Marie Kinnan (OWNER/THERAPIST) |
| Authorized Official Contact | 9198695301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simply Teen Outpatient 800 W Williams St Ste 203 Apex NC 27502-5200 Ph: (919) 869-5301 | Simply Teen Outpatient 800 W Williams St Ste 203 Apex NC 27502-5200 Ph: (919) 869-5301 |
| NPI Number | 1730859513 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 09/14/2021 |
| Certification Date | 09/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730859513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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