Provider Demographics
NPI:1023725546
Name:DENT, ACHAIA (LCMHCA)
Entity type:Individual
Prefix:
First Name:ACHAIA
Middle Name:
Last Name:DENT
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 STILL HAND DR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527
Mailing Address - Country:US
Mailing Address - Phone:919-500-6449
Mailing Address - Fax:
Practice Address - Street 1:1240 SE MAYNARD RD STE 104
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-6946
Practice Address - Country:US
Practice Address - Phone:919-709-7307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health