=====================================================
General NPI Number Information
=====================================================
NPI Number | 1588837298
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SCARBORO CONSULTATION SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/03/2008
-----------------------------------------------------
Last Update Date | 04/03/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8938 MERRIE ROSE AVE
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28213-0202
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-516-2949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8939 MERRIE ROSE AVENUE
-----------------------------------------------------
City | CHARLOTTE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28213
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-516-2949
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNSELOR
-----------------------------------------------------
Name | DR. BARBARA ANN SCARBORO
-----------------------------------------------------
Credential | NCC, LPC, LCAS, CSI
-----------------------------------------------------
Telephone | 704-516-2949
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 5140
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------