Provider Demographics
NPI:1255883385
Name:MACHADO WORKMAN, JAMES
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:
Last Name:MACHADO WORKMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HOLLY SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9023
Mailing Address - Country:US
Mailing Address - Phone:919-428-7746
Mailing Address - Fax:919-800-3949
Practice Address - Street 1:201 HOLLY SPRINGS RD
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9023
Practice Address - Country:US
Practice Address - Phone:919-428-7746
Practice Address - Fax:919-800-3949
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC110077A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist