Healthcare Provider Details

I. General information

NPI: 1306625926
Provider Name (Legal Business Name): WHISPERING ANGELS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 09/22/2023
Certification Date: 09/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1273 OXENDINE SCHOOL RD
MAXTON NC
28364-9361
US

IV. Provider business mailing address

1273 OXENDINE SCHOOL RD
MAXTON NC
28364-9361
US

V. Phone/Fax

Practice location:
  • Phone: 910-301-3191
  • Fax:
Mailing address:
  • Phone: 910-301-3191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: VICKIE A LOCKLEAR
Title or Position: OWNER
Credential:
Phone: 910-301-3191