Healthcare Provider Details

I. General information

NPI: 1356676530
Provider Name (Legal Business Name): WOMAN'S WORK CONSULTING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2009
Last Update Date: 10/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

117 HONEYCUTT ST
RANDLEMAN NC
27317-1903
US

IV. Provider business mailing address

117 HONEYCUTT ST
RANDLEMAN NC
27317-1903
US

V. Phone/Fax

Practice location:
  • Phone: 336-495-6494
  • Fax: 336-495-6494
Mailing address:
  • Phone: 336-495-6494
  • Fax: 336-495-6494

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VII. Legacy identifiers

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

VIII. Authorized Official

Name: MS. JAMILLAH Z. NASIR
Title or Position: EXECUTIVE DIRECTOR
Credential: CE, CD, CLEC
Phone: 336-495-6494