Provider Demographics
NPI:1952437790
Name:B&D INTEGRATED HEALTH SERVICES
Entity Type:Organization
Organization Name:B&D INTEGRATED HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:DURANT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:919-753-1080
Mailing Address - Street 1:249 E NC HIGHWAY 54
Mailing Address - Street 2:SUITE 320
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7512
Mailing Address - Country:US
Mailing Address - Phone:919-753-1080
Mailing Address - Fax:919-753-1089
Practice Address - Street 1:249 E NC HIGHWAY 54
Practice Address - Street 2:SUITE 320
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7512
Practice Address - Country:US
Practice Address - Phone:919-753-1080
Practice Address - Fax:919-753-1089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0689010251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300597BMedicaid
NC8300597GMedicaid
NC8300597Medicaid