Provider Demographics
NPI:1114541646
Name:BAGBY VOCATIONAL CONSULTING
Entity Type:Organization
Organization Name:BAGBY VOCATIONAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SABRENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-759-0460
Mailing Address - Street 1:1323 QUEENS RD UNIT 418
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-2168
Mailing Address - Country:US
Mailing Address - Phone:704-759-0460
Mailing Address - Fax:
Practice Address - Street 1:1323 QUEENS RD UNIT 418
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-2168
Practice Address - Country:US
Practice Address - Phone:704-759-0460
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-01
Last Update Date:2020-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Single Specialty