Provider Demographics
NPI:1881313963
Name:GRAVES, SYLVIA (MA, LCMHCA)
Entity type:Individual
Prefix:
First Name:SYLVIA
Middle Name:
Last Name:GRAVES
Suffix:
Gender:F
Credentials:MA, LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1921 N POINTE DR STE 280
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-2689
Mailing Address - Country:US
Mailing Address - Phone:984-279-1100
Mailing Address - Fax:984-279-1200
Practice Address - Street 1:1921 N POINTE DR STE 280
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-2689
Practice Address - Country:US
Practice Address - Phone:984-279-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA17980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health