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NPI 1861039729

NPI 1861039729 : NO BOUNDS CARE INC OF NC : WADESBORO, NC

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General NPI Number Information
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    NPI Number           |    1861039729
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    Entity Type          |    Organization 
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    Legal Business Name  |    NO BOUNDS CARE INC OF NC 
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Dates
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    Enumeration Date     |    12/10/2019
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    Last Update Date     |    10/31/2025
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Provider Practice Location Address
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    Address Line         |    514 N WASHINGTON ST STE 134 
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    City                 |    WADESBORO
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    State                |    NC
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    Zip                  |    28170-1839
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    Country              |    US
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    Telephone            |    980-999-5006
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    Fax                  |    855-345-0943
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Provider Business Mailing Address
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    Address Line         |    717 GREEN VALLEY RD 
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    City                 |    GREENSBORO
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    State                |    NC
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    Zip                  |    27408-2155
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    Country              |    US
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    Telephone            |    336-255-1214
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     LATOYA  BROWN 
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    Credential           |    
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    Telephone            |    336-255-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    364SP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Clinical Nurse Specialist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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