Provider Demographics
NPI:1942235106
Name:FAMILIES AND COMMUNITIES RISING, INC.
Entity Type:Organization
Organization Name:FAMILIES AND COMMUNITIES RISING, INC.
Other - Org Name:KIDSCOPE
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LARA
Authorized Official - Middle Name:
Authorized Official - Last Name:KEHLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPA
Authorized Official - Phone:919-644-6590
Mailing Address - Street 1:4220 APEX HWY STE 330
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-5295
Mailing Address - Country:US
Mailing Address - Phone:919-490-5577
Mailing Address - Fax:919-490-4905
Practice Address - Street 1:101 CLOISTER CT STE D
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2207
Practice Address - Country:US
Practice Address - Phone:919-644-6590
Practice Address - Fax:919-644-7157
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHAPEL HILL TRAINING OUTREACH PROJECT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-12
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC #3203101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC017UYOtherBC/BS
NC6005664Medicaid
NC8301634Medicaid