Provider Demographics
NPI:1659074896
Name:THE HEALING OAK, PLLC
Entity Type:Organization
Organization Name:THE HEALING OAK, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGE CARPENTER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PHD
Authorized Official - Phone:919-756-1191
Mailing Address - Street 1:9700 TEN TEN RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603
Mailing Address - Country:US
Mailing Address - Phone:919-756-1191
Mailing Address - Fax:
Practice Address - Street 1:9700 TEN TEN RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-2760
Practice Address - Country:US
Practice Address - Phone:919-756-1191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health