Healthcare Provider Details

I. General information

NPI: 1598512931
Provider Name (Legal Business Name): CORNBREAD & ROSES COMMUNITY COUNSELING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1294 SAVANNAH DR
SYLVA NC
28779-7005
US

IV. Provider business mailing address

1294 SAVANNAH DR
SYLVA NC
28779-7005
US

V. Phone/Fax

Practice location:
  • Phone: 828-283-0235
  • Fax: 828-522-3039
Mailing address:
  • Phone: 828-283-0235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY KLEPAC
Title or Position: CLINICAL DIRECTOR
Credential: LCMHC
Phone: 828-507-6648