Healthcare Provider Details

I. General information

NPI: 1093626293
Provider Name (Legal Business Name): KAMIHLA MCBURNEY LCSW-A
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 RAEFORD RD STE 3
FAYETTEVILLE NC
28305-5086
US

IV. Provider business mailing address

2317 WINGATE RD
FAYETTEVILLE NC
28304-1339
US

V. Phone/Fax

Practice location:
  • Phone: 910-485-6336
  • Fax:
Mailing address:
  • Phone: 910-485-6336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024283
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: