Provider Demographics
NPI:1790206662
Name:NAOMIE C SHULTIS
Entity Type:Organization
Organization Name:NAOMIE C SHULTIS
Other - Org Name:MEETING MILESTONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAOMIE
Authorized Official - Middle Name:CATHRINE
Authorized Official - Last Name:SHULTIS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:252-717-0216
Mailing Address - Street 1:106 N ONSLOW ST
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-8282
Mailing Address - Country:US
Mailing Address - Phone:252-717-0216
Mailing Address - Fax:
Practice Address - Street 1:106 N ONSLOW ST
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-8282
Practice Address - Country:US
Practice Address - Phone:252-717-0216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health