Healthcare Provider Details

I. General information

NPI: 1205544129
Provider Name (Legal Business Name): EVA MARIE CARTWRIGHT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/09/2022
Last Update Date: 03/15/2023
Certification Date: 03/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

996 HELEN ST
FAYETTEVILLE NC
28303-3069
US

IV. Provider business mailing address

3648 DAUGHTRIDGE DR
FAYETTEVILLE NC
28311-0336
US

V. Phone/Fax

Practice location:
  • Phone: 910-860-7008
  • Fax: 910-221-9006
Mailing address:
  • Phone: 205-784-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: