Robertson, Denise Farantatos

Robertson, Denise Farantatos is an sole proprietor health care provider with primary practice located at 3900 Barrett Dr Ste 301C , Raleigh NC 27609-6610. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Robertson, Denise Farantatos can be contacted via phone (919) 520-3646.

Contact Information

Primary practice address
3900 Barrett Dr Ste 301C Raleigh NC 27609-6610
Phone: (919) 520-3646
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X C004326 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004326 North Carolina

Profile Details

NPI number 1144271966
LBN Legal business name Robertson, Denise Farantatos
Credentials LCSW/MSW, QDDP,QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2006
Last updated Mar 6th, 2023 - about 3 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144271966 NPPES
North Carolina MEDICAID 6002799
North Carolina Other 13650

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