Healthcare Provider Details

I. General information

NPI: 1285787119
Provider Name (Legal Business Name): CORA ADAMS STRICKLAND X MA, LCMHCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

236 N MEBANE ST SUITE 101
BURLINGTON NC
27217-3966
US

IV. Provider business mailing address

236 N MEBANE ST SUITE 101
BURLINGTON NC
27217-3966
US

V. Phone/Fax

Practice location:
  • Phone: 336-436-0074
  • Fax:
Mailing address:
  • Phone: 336-436-0074
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number4959
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberS4959
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: