Provider Demographics
NPI:1083872873
Name:GROOMS, SYLVIA S (MA, LCAS)
Entity Type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:S
Last Name:GROOMS
Suffix:
Gender:F
Credentials:MA, LCAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:911 ATKINSON ST
Mailing Address - Street 2:
Mailing Address - City:LAURINBURG
Mailing Address - State:NC
Mailing Address - Zip Code:28352-4718
Mailing Address - Country:US
Mailing Address - Phone:910-291-9909
Mailing Address - Fax:
Practice Address - Street 1:911 ATKINSON ST
Practice Address - Street 2:
Practice Address - City:LAURINBURG
Practice Address - State:NC
Practice Address - Zip Code:28352-4718
Practice Address - Country:US
Practice Address - Phone:910-291-9909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)