Provider Demographics
NPI:1134925001
Name:NEURODIVERSE MENTAL HEALTH
Entity type:Organization
Organization Name:NEURODIVERSE MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OSLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GALOBARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-283-6860
Mailing Address - Street 1:920 CALLAWAY CREEK DR APT 208
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6172
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:100 EUROPA DR STE 417
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2389
Practice Address - Country:US
Practice Address - Phone:919-283-6860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-21
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty