Provider Demographics
NPI:1366260911
Name:ADAWN HEALING, PLLC
Entity type:Organization
Organization Name:ADAWN HEALING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MODUPE
Authorized Official - Middle Name:OLAYINKA
Authorized Official - Last Name:EDOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA
Authorized Official - Phone:919-408-7927
Mailing Address - Street 1:3600 N DUKE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-1769
Mailing Address - Country:US
Mailing Address - Phone:919-408-7927
Mailing Address - Fax:
Practice Address - Street 1:103 S DRIVER ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-4133
Practice Address - Country:US
Practice Address - Phone:919-408-7927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty