NPI 1003088451

Community Innovations, INC

Organisation Professional Counselor Whiteville, NC

Practice location

Address: 801 Wilson St, Whiteville, NC 28472-4713
Phone: (910) 642-5697
Mailing address: 3210 Fairhill Dr, Raleigh, NC 27612-3215

Authorised official

Name: Talesha Rollock
Title: Provider Enrollment Specialist
Phone: (919) 256-0824

Registered specialties (2)

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in North Carolina →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in North Carolina →

Registry record

NPI: 1003088451
Entity type: Organization
NPI issued: 26 Mar 2008
Record last updated: 17 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.