Provider Demographics
NPI:1952760688
Name:CENTER FOR FAMILY & MATERNAL WELLNESS
Entity type:Organization
Organization Name:CENTER FOR FAMILY & MATERNAL WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:980-495-6305
Mailing Address - Street 1:155 DOVE LN
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7844
Mailing Address - Country:US
Mailing Address - Phone:980-495-6305
Mailing Address - Fax:980-495-6535
Practice Address - Street 1:155 DOVE LN
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28147-7844
Practice Address - Country:US
Practice Address - Phone:980-495-6305
Practice Address - Fax:980-495-6535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1952760688Medicaid