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Provider Information for 1326090044


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Mrs. AUDREY PARSONS DIFILIPPO MS, LCMHC


Sex: Female

NPI: 1326090044
Last Updated: 2024-08-13
Certification Date: 2024-08-13

Details

NameValue
NPI1326090044
Enumeration Date2006-05-17
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 12528 WATERLOW PARK LN
RALEIGH, NC 27614-8879
United States

Phone: 919-275-0768 | Fax:
 
Primary Practice Address 2809 E MILLBROOK RD
RALEIGH, NC 27604-2849
United States

Phone: 919-954-5169 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDNC6102223
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthSC8617
Yes 101YM0800X - Counselor - Mental HealthNC20345