Healthcare Provider Details

I. General information

NPI: 1942473012
Provider Name (Legal Business Name): CONFIDENCE BUILDERS,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2008
Last Update Date: 04/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1561 TYLER RD
RICH SQUARE NC
27869-9417
US

IV. Provider business mailing address

1561 TYLER RD
RICH SQUARE NC
27869-9417
US

V. Phone/Fax

Practice location:
  • Phone: 252-642-4136
  • Fax: 252-334-9210
Mailing address:
  • Phone: 252-642-4136
  • Fax: 252-334-9210

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0005X
TaxonomyAmbulatory Family Planning Facility
License Number
License Number StateNC

VIII. Authorized Official

Name: MRS. CAROLYN CASSANDRA HALL
Title or Position: OWNER
Credential:
Phone: 252-642-4136