Healthcare Provider Details

I. General information

NPI: 1447943311
Provider Name (Legal Business Name): PROJECT-YME, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2023
Last Update Date: 02/22/2025
Certification Date: 02/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1435 GARFIELD ST
NEW BERN NC
28560-3615
US

IV. Provider business mailing address

1435 GARFIELD ST
NEW BERN NC
28560-3615
US

V. Phone/Fax

Practice location:
  • Phone: 252-208-9013
  • Fax:
Mailing address:
  • Phone: 252-208-9013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EBONIE TAYLOR-DIXON
Title or Position: LCSW
Credential:
Phone: 252-208-9013