Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Collegial Behavioral Health, PLLC

Organization Physician Assistant · NPI 1780191627

Collegial Behavioral Health, PLLC provides Physician Assistant services in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12740 Spruce Tree Way Ste 102
Raleigh, NC 27614-8295
Phone: (919) 916-1160
Fax: (919) 488-4226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-05553 (NC)

Record details

NPI number1780191627
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Owen Wang — Office Manager · (626) 808-6428
NPI enumeratedJanuary 1, 2018
Last updated in NPPESOctober 17, 2019
Mailing address12740 Spruce Tree Way Ste 102, Raleigh, NC 27614-8295

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