Healthcare Provider Details

I. General information

NPI: 1699606244
Provider Name (Legal Business Name): EACH ONE TEACH ONE REACH ONE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 FARM LN
MILLS RIVER NC
28759-4642
US

IV. Provider business mailing address

85 FARM LN
MILLS RIVER NC
28759-4642
US

V. Phone/Fax

Practice location:
  • Phone: 646-652-9423
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. DEDRA M FORBES
Title or Position: OWNER
Credential: EDD
Phone: 646-652-9423