Provider Demographics
NPI:1346546967
Name:CHILD WHISPERERS
Entity Type:Organization
Organization Name:CHILD WHISPERERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:BRADLEY
Authorized Official - Last Name:FOUST
Authorized Official - Suffix:JR
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:336-608-7034
Mailing Address - Street 1:PO BOX 24303
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27114-4303
Mailing Address - Country:US
Mailing Address - Phone:336-608-7034
Mailing Address - Fax:336-602-1286
Practice Address - Street 1:5376 CLUB CT
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-5775
Practice Address - Country:US
Practice Address - Phone:336-608-7034
Practice Address - Fax:336-464-2792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5106252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency