Healthcare Provider Details

I. General information

NPI: 1336980168
Provider Name (Legal Business Name): SYDNEY FRANCES BURFORD CRC, LCMHC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2024
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 SUGAR COVE LN
CHAPEL HILL NC
27516-6320
US

IV. Provider business mailing address

602 SUGAR COVE LN
CHAPEL HILL NC
27516-6327
US

V. Phone/Fax

Practice location:
  • Phone: 919-462-8308
  • Fax:
Mailing address:
  • Phone: 910-912-5192
  • Fax: 910-401-1614

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA20039
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: