Provider Demographics
NPI:1932486958
Name:CAROLINA CONSULTING & PLANNING AGENCY
Entity Type:Organization
Organization Name:CAROLINA CONSULTING & PLANNING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:DONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-909-4256
Mailing Address - Street 1:3700 WELWYN WAY DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-2534
Mailing Address - Country:US
Mailing Address - Phone:817-909-4256
Mailing Address - Fax:
Practice Address - Street 1:3700 WELWYN WAY DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-2534
Practice Address - Country:US
Practice Address - Phone:817-909-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness