Provider Demographics
NPI:1306021068
Name:HOPE IN THE CAROLINA, LLC
Entity Type:Organization
Organization Name:HOPE IN THE CAROLINA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHELTON
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-916-3929
Mailing Address - Street 1:PO BOX 1576
Mailing Address - Street 2:
Mailing Address - City:ROSEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28382-1576
Mailing Address - Country:US
Mailing Address - Phone:910-916-3929
Mailing Address - Fax:
Practice Address - Street 1:302 N. MAIN STREET,
Practice Address - Street 2:SUITE 2
Practice Address - City:KENANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28349-9019
Practice Address - Country:US
Practice Address - Phone:910-296-6244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-31
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty