Provider Demographics
NPI:1891226858
Name:BEST DAY PSYCHIATRY AND COUNSELING, PC
Entity Type:Organization
Organization Name:BEST DAY PSYCHIATRY AND COUNSELING, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:K
Authorized Official - Last Name:MATLACK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:910-323-1543
Mailing Address - Street 1:2587 RAVENHILL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28303-5451
Mailing Address - Country:US
Mailing Address - Phone:910-323-1543
Mailing Address - Fax:910-483-2026
Practice Address - Street 1:4505 FAIR MEADOWS LN
Practice Address - Street 2:SUITE 102
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-6465
Practice Address - Country:US
Practice Address - Phone:910-323-1543
Practice Address - Fax:910-483-2026
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BEST DAY PSYCHIATRY AND COUNSELING, PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-03-22
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2002012822084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89016A2Medicaid