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NPI Code Detail

MEDICARE: DREAMWEAVERS COUNSELING & CONSULTING

MEDICARE: DREAMWEAVERS COUNSELING & CONSULTING
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerNC

General Provider Information

NPI Number : 1588153282
Entity Type Code : Organization
Provider Name (Legal Business Name) : DREAMWEAVERS COUNSELING & CONSULTING
Provider Business Mailing Address
First Line : 2413 ROBESON ST STE 6
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5500
Country : US
Telephone Number : 910-491-8499
Fax Number : 910-491-8780
Provider Business Practice Location Address
First Line : 2413 ROBESON ST STE 6
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28305-5500
Country : US
Telephone Number : 910-491-8499
Fax Number : 910-491-8780
Authorized Official
Title or Position : OWNER
Name : MS. ROSE LOWERY LOCKLEAR
Credential : MA
Telephone Number : 910-491-8499
Provider Enumeration Date : 05/08/2018
Last Update Date : 05/08/2018

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Directions to “DREAMWEAVERS COUNSELING & CONSULTING ” Practice Location

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