Provider Demographics
NPI:1972015808
Name:D'ELIA FAMILY SOLUTIONS COUNSELING AND COACHING
Entity type:Organization
Organization Name:D'ELIA FAMILY SOLUTIONS COUNSELING AND COACHING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE AND FAMILY THERAP
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ELIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:919-825-1704
Mailing Address - Street 1:2928 THURMAN DAIRY LOOP
Mailing Address - Street 2:
Mailing Address - City:WAKE FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:27587-5620
Mailing Address - Country:US
Mailing Address - Phone:919-825-1704
Mailing Address - Fax:
Practice Address - Street 1:2928 THURMAN DAIRY LOOP
Practice Address - Street 2:
Practice Address - City:WAKE FOREST
Practice Address - State:NC
Practice Address - Zip Code:27587-5620
Practice Address - Country:US
Practice Address - Phone:919-825-1704
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-01
Last Update Date:2024-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1820106H00000X
261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)