Healthcare Provider Details

I. General information

NPI: 1851923569
Provider Name (Legal Business Name): LINDA FAYE MCLAURIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 CHAPEL HILL RD STE A
DURHAM NC
27707-1177
US

IV. Provider business mailing address

351 WAGONER DR
FAYETTEVILLE NC
28303-4608
US

V. Phone/Fax

Practice location:
  • Phone: 919-246-5664
  • Fax:
Mailing address:
  • Phone: 910-423-0598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberPO14113
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: