Provider Demographics
NPI:1154466811
Name:WOMEN IN NEED OF GREATER SUPPORT
Entity Type:Organization
Organization Name:WOMEN IN NEED OF GREATER SUPPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORNELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRINGLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCAS
Authorized Official - Phone:704-532-1418
Mailing Address - Street 1:10132 ASHLEY FARM DR
Mailing Address - Street 2:
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105-4555
Mailing Address - Country:US
Mailing Address - Phone:704-532-1418
Mailing Address - Fax:
Practice Address - Street 1:10132 ASHLEY FARM DR
Practice Address - Street 2:
Practice Address - City:MATTHEWS
Practice Address - State:NC
Practice Address - Zip Code:28105-4555
Practice Address - Country:US
Practice Address - Phone:704-532-1418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC680101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty