Provider Demographics
NPI:1033086186
Name:CBWC CONCIERGE SERVICES PLLC
Entity type:Organization
Organization Name:CBWC CONCIERGE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:919-205-8325
Mailing Address - Street 1:217 S STEELE ST STE C
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-4371
Mailing Address - Country:US
Mailing Address - Phone:919-352-9044
Mailing Address - Fax:919-587-8944
Practice Address - Street 1:217 S STEELE ST STE C
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4371
Practice Address - Country:US
Practice Address - Phone:919-352-9044
Practice Address - Fax:919-587-8944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-22
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty