Healthcare Provider Details

I. General information

NPI: 1720582588
Provider Name (Legal Business Name): GLOBAL OUTREACH TELEREHABILITATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2018
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 FAIRWAY DR
FAYETTEVILLE NC
28305-5502
US

IV. Provider business mailing address

214 FAIRWAY DR
FAYETTEVILLE NC
28305-5502
US

V. Phone/Fax

Practice location:
  • Phone: 910-491-8186
  • Fax: 910-808-1042
Mailing address:
  • Phone: 910-491-1901
  • Fax: 910-221-8294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL004636
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number22354
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number1-17-27316
License Number StateNC
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC010212
License Number StateNC

VIII. Authorized Official

Name: ROSALIND WOODS
Title or Position: OWNER
Credential:
Phone: 910-491-1901