Epic Integrative Health Services, PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EPIC INTEGRATIVE HEALTH SERVICES, PLLC

Practice address

4804 Page Creek LN Ste 212
Durham, NC 27703-8582

Phone

(984) 259-9359

NPI assigned

Aug 2, 2022

Organization subpart

No

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

Authorized official

Name

Erica A Liles, LCSWNPI 1417438334

Title

LCSW

Phone

(919) 698-8202

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Alexandrea Liles

  • Clinical Social Worker
  • Durham, NC
  • NPI 1417438334
  NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1609503473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD SUITE 120 #119",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27713",
            "telephone_number": "984-259-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 PAGE CREEK LN STE 212",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277038582",
            "telephone_number": "984-259-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC INTEGRATIVE HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "LILES",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "919-698-8202",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Entzel, MSW, LCSWA
• Enveina Service Center LLC
• Envision Financial Services
• Laura Enyedi, M.D.
• Nicole Majette Enyinnaya, AGPCNP
• Carol Ann Epling, MD, MPH
• John Eppensteiner
• Carla J Epperson, RN, BSN, MBA
• Jeffrey Eppley
• Katherine Haley Epps, PT

• Adolescent and Children Mental Health Clinic/Center in Durham, NC
• Providers in Durham, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.