Beresford, Madison

Beresford, Madison is an individual health care provider with primary practice located at 3204 Heritage Trade Dr Ste 100 , Wake Forest NC 27587-4055. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral. Behavioral Health & Social Service Providers / Pastoral is his primary health care specialty. Beresford, Madison can be contacted via phone (919) 885-6232.

Contact Information

Primary practice address
3204 Heritage Trade Dr Ste 100 Wake Forest NC 27587-4055
Phone: (919) 885-6232
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Pastoral 101YP1600X

Profile Details

NPI number 1215392659
LBN Legal business name Beresford, Madison
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2015
Last updated Aug 11th, 2026 - about 2 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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