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

Collegial Behavioral Health, PLLC

Organization Physician Assistant · NPI 1780191627

Collegial Behavioral Health, PLLC is a Physician Assistant 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
Show map & directions

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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