Provider Demographics
NPI: | 1649392226 |
---|---|
Name: | CUMBERLAND COUNTY SCHOOLS |
Entity Type: | Organization |
Organization Name: | CUMBERLAND COUNTY SCHOOLS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | SCHOOL COUNSELOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | ELEANOR |
Authorized Official - Middle Name: | MARIA |
Authorized Official - Last Name: | MONACO-KELLY |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MED,NCC,LPC,NSCS |
Authorized Official - Phone: | 910-867-1762 |
Mailing Address - Street 1: | 1066 FRED HALL RD |
Mailing Address - Street 2: | |
Mailing Address - City: | STEDMAN |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 28391-8404 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 910-484-3017 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 6764 RAEFORD RD |
Practice Address - Street 2: | |
Practice Address - City: | FAYETTEVILLE |
Practice Address - State: | NC |
Practice Address - Zip Code: | 28304-2771 |
Practice Address - Country: | US |
Practice Address - Phone: | 910-867-1762 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-04 |
Last Update Date: | 2008-06-30 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NC | 2286 | 174400000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty |