Organization Active NPI

Daffodil Wellness Center

  • Adult Mental Health Clinic/Center
  • Raleigh, NC
National Provider Identifier
1104517630
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DAFFODIL WELLNESS CENTER
Practice address
211 E Six Forks Rd Ste 203C
Raleigh, NC 27609-7753
Phone
(919) 634-8217
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Demetria Demetriahayes
Title
Owner
Phone
(310) 270-1675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

211 E Six Forks Rd Ste 203C
Raleigh, NC 27609-7753

Mailing address

211 E Six Forks Rd Ste 203C
Raleigh, NC 27609-7753
Phone (919) 634-8217

National Provider Directory

National Provider Directory

Locations

211 E Six Forks Rd
Ste 203C
Raleigh, NC 27609
Phone (919) 634-8217

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1104517630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 203C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097753",
            "telephone_number": "919-634-8217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E SIX FORKS RD STE 203C",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097753",
            "telephone_number": "919-634-8217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAFFODIL WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "DEMETRIAHAYES",
        "authorized_official_first_name": "DEMETRIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-270-1675"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.