MS. BETHANY CHYANNE DEMENT LCMHCA
NPI 1639824493
Counselor - Mental Health in Wake Forest, NC
Active since February 19, 2022
About Ms. Bethany Chyanne Dement Lcmhca NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. BETHANY CHYANNE DEMENT LCMHCA (NPI 1639824493) is an individual mental health provider in Wake Forest, North Carolina, licensed in North Carolina (17372) and active in the NPI registry since February 2022. She maintains 3 additional practice locations.
NPPES Registry Identity
NPI1639824493
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. BETHANY CHYANNE DEMENTCredential: LCMHCA
Location Address500 WAIT AVE STE 2Wake Forest, NC 27587-2779
Mailing Address11845 Retail DrWake Forest, NC 27587-7352 · (252) 820-3317
Phone(252) 820-3317
Sole ProprietorYes
Enumeration DateFebruary 19, 2022
Last NPPES UpdateJuly 14, 20242 updates tracked since enumeration
NPPES CertifiedJuly 14, 2024
✔ NPI 1639824493 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 17372
500 WAIT AVE STE 2, Wake Forest, NC 27587
Secondary Practice Locations 3
Location 1547 Keisler Dr Ste 202Cary, NC 27518-9309 · Phone (919) 893-9444 ext. 514
Location 2200 East StPittsboro, NC 27312-9730 · Phone (919) 893-9444
Location 3109 Holleman StApex, NC 27502-1809 · Phone (919) 893-9444
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639824493, enumerated as an "individual" on February 19, 2022.
The provider is located at 500 WAIT AVE STE 2 WAKE FOREST, NC 27587 and the phone number is (252) 820-3317.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
