Healthcare Provider Details

I. General information

NPI: 1497364145
Provider Name (Legal Business Name): AUGUST RHIANNON ORMAND LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. AUGUST RHIANNON COOK/FOWLER

II. Dates (important events)

Enumeration Date: 07/29/2020
Last Update Date: 07/29/2020
Certification Date: 07/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 BEACH ST
MORGANTON NC
28655-3515
US

IV. Provider business mailing address

140 BEACH ST
MORGANTON NC
28655-3515
US

V. Phone/Fax

Practice location:
  • Phone: 828-475-0149
  • Fax: 828-475-0150
Mailing address:
  • Phone: 828-475-0149
  • Fax: 828-475-0150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP014708
License Number StateNC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: