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

Southeast Family Services of Raleigh

Organization Clinical Child & Adolescent Psychologist · NPI 1902199748

Southeast Family Services of Raleigh is a Clinical Child & Adolescent Psychologist in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2011.

Licensed in
NC
In the registry since
2011
Specialties on file
3

Practice location Address checks out

3716 National Dr Ste 124
Raleigh, NC 27612-4068
Phone: (919) 783-8846
Fax: (919) 783-7305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 3757 (NC)
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence 5028 (NC)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence 6834 (NC)

Record details

NPI number1902199748
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brenda Vath — Office Manager · (919) 783-8846
NPI enumeratedMay 26, 2011
Last updated in NPPESMay 26, 2011
Mailing address3716 National Dr, Suite 124, Raleigh, NC 27612-4068

Other providers in Raleigh