Provider Demographics
NPI:1497840037
Name:CAROLINA CHILD AND FAMILY SERVICES, INC.
Entity Type:Organization
Organization Name:CAROLINA CHILD AND FAMILY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULEE
Authorized Official - Middle Name:K
Authorized Official - Last Name:PHIFER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:336-429-8232
Mailing Address - Street 1:787 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:NC
Mailing Address - Zip Code:27030-3933
Mailing Address - Country:US
Mailing Address - Phone:336-789-4408
Mailing Address - Fax:
Practice Address - Street 1:787 E PINE ST
Practice Address - Street 2:
Practice Address - City:MOUNT AIRY
Practice Address - State:NC
Practice Address - Zip Code:27030-3933
Practice Address - Country:US
Practice Address - Phone:336-789-4408
Practice Address - Fax:336-786-4408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6005608Medicaid
NC6005608Medicaid
NC8300400BMedicaid
NC8300400Medicaid
NC8300400GMedicaid
NC8300400BMedicaid