Healthcare Provider Details

I. General information

NPI: 1255252144
Provider Name (Legal Business Name): RASHANDA COOPER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1301 MCCARTHY BLVD STE B
NEW BERN NC
28562-2033
US

IV. Provider business mailing address

313 FAIRMOUNT WAY
NEW BERN NC
28562-4871
US

V. Phone/Fax

Practice location:
  • Phone: 252-649-2728
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024228
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: