Healthcare Provider Details

I. General information

NPI: 1992575112
Provider Name (Legal Business Name): CHELSEA ROYALE COTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/08/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

503 US 70 HWY E
GARNER NC
27529-4070
US

IV. Provider business mailing address

503 US 70 HWY E
GARNER NC
27529-4070
US

V. Phone/Fax

Practice location:
  • Phone: 252-903-3334
  • Fax:
Mailing address:
  • Phone: 252-904-5348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023681
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: