Provider Demographics
| NPI: | 1649392226 |
|---|---|
| Name: | CUMBERLAND COUNTY SCHOOLS |
| Entity type: | Organization |
| Organization Name: | CUMBERLAND COUNTY SCHOOLS |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | SCHOOL COUNSELOR |
| Authorized Official - Prefix: | MRS |
| Authorized Official - First Name: | ELEANOR |
| Authorized Official - Middle Name: | MARIA |
| Authorized Official - Last Name: | MONACO-KELLY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MED,NCC,LPC,NSCS |
| Authorized Official - Phone: | 910-867-1762 |
| Mailing Address - Street 1: | 1066 FRED HALL RD |
| Mailing Address - Street 2: | |
| Mailing Address - City: | STEDMAN |
| Mailing Address - State: | NC |
| Mailing Address - Zip Code: | 28391-8404 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 910-484-3017 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 6764 RAEFORD RD |
| Practice Address - Street 2: | |
| Practice Address - City: | FAYETTEVILLE |
| Practice Address - State: | NC |
| Practice Address - Zip Code: | 28304-2771 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 910-867-1762 |
| Practice Address - Fax: | |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2007-04-04 |
| Last Update Date: | 2008-06-30 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NC | 2286 | 174400000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 174400000X | Other Service Providers | Specialist | Group - Multi-Specialty |