Provider Demographics
NPI:1477026144
Name:POPE BEHAVIORAL HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:POPE BEHAVIORAL HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:POPE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:919-999-7457
Mailing Address - Street 1:21 W COLONY PL STE 130
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-7201
Mailing Address - Country:US
Mailing Address - Phone:919-999-7457
Mailing Address - Fax:919-516-0729
Practice Address - Street 1:5102 CHAPEL HILL DURHAM BLVD.
Practice Address - Street 2:SUITE 101
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707
Practice Address - Country:US
Practice Address - Phone:919-999-7457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-06
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty