NPI 1083435481

Kingdom Logistics Group, LLC

Organisation Clinical Social Worker Fayetteville, NC

Practice location

Address: 1548 Ellie Ave, Fayetteville, NC 28314-8523
Phone: (910) 391-6536
Mailing address: 342 Ray Ave STE 6, Fayetteville, NC 28301-5058

Authorised official

Name: Larissa Harris
Title: Manager
Phone: (910) 391-6536

Registered specialties (4)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X

Other Social Worker providers in North Carolina →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X

Other Counselor providers in North Carolina →

Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in North Carolina →

Registry record

NPI: 1083435481
Entity type: Organization
NPI issued: 18 Oct 2024
Record last updated: 21 Oct 2024

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.