Provider Demographics
NPI:1558038661
Name:STRINGER, GELISA GENAE
Entity Type:Individual
Prefix:
First Name:GELISA
Middle Name:GENAE
Last Name:STRINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GELICA
Other - Middle Name:GENAE
Other - Last Name:JACKSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6800 LAKINSVILLE LN
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6907
Mailing Address - Country:US
Mailing Address - Phone:919-394-3419
Mailing Address - Fax:
Practice Address - Street 1:6800 LAKINSVILLE LN
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6907
Practice Address - Country:US
Practice Address - Phone:919-394-3419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician