Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. STEHANIE D WALL
Active Sole ProprietorMRS. STEHANIE D WALL is a Psychiatric Residential Treatment Facility healthcare provider located in RAEFORD, North Carolina. NPI 1083045306 is currently active in the NPPES registry. Verify at CMS.
Psychiatric Residential Treatment Facility · RAEFORD, NC
Registration Details
- NPI Number
- 1083045306
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 12, 2013 (12.706040183289 yrs)
- Last Updated
- Jan 9, 2015
- Licenses
-
MHL-047-152 (NC)27-0962043 (SC)27-0962043 (SC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1357 WAYSIDE RDRAEFORD, NC, 283766513Browse NC providers · Browse ZIP 28376
- Phone
- 9105652139
- Primary Specialty
-
Psychiatric Residential Treatment Facility
320800000X
- Additional Specialty
- Case Manager
- Additional Specialty
- Private Vehicle
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.