Provider Demographics
NPI:1912361379
Name:DRIVEN BY DESIGN CONSULTING & TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:DRIVEN BY DESIGN CONSULTING & TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RAYNARD
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-349-5850
Mailing Address - Street 1:301 S OAKLAND AVE
Mailing Address - Street 2:STE 6444
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28687-0837
Mailing Address - Country:US
Mailing Address - Phone:980-349-5850
Mailing Address - Fax:
Practice Address - Street 1:450 W HANES MILL RD
Practice Address - Street 2:STE 222
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27105-9141
Practice Address - Country:US
Practice Address - Phone:980-349-5850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-11
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6144561343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6144561OtherDMV