Provider Demographics
NPI:1326688375
Name:THE BEAUTY OF DREAMS PLLC
Entity Type:Organization
Organization Name:THE BEAUTY OF DREAMS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:BUKOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEOWO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LCASA
Authorized Official - Phone:919-675-1764
Mailing Address - Street 1:312 W MILLBROOK RD STE 121
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-4398
Mailing Address - Country:US
Mailing Address - Phone:984-200-8455
Mailing Address - Fax:919-591-0253
Practice Address - Street 1:312 W MILLBROOK RD STE 121
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-4398
Practice Address - Country:US
Practice Address - Phone:919-675-1764
Practice Address - Fax:919-591-0253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty