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General NPI Number Information
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NPI Number | 1891604914
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Entity Type | Organization
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Legal Business Name | MSI MCKINNEY MANAGEMENT SERVICES INC
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Dates
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Enumeration Date | 09/03/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 28 GREAT FALLS CT
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-4646
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Country | US
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Telephone | 919-559-4382
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Fax |
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Provider Business Mailing Address
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Address Line | 28 GREAT FALLS CT
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City | ROCKY MOUNT
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State | NC
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Zip | 27804-4646
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Country | US
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Telephone | 919-559-4382
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | BRUSHAWN MCKINNEY
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Credential | THD
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Telephone | 919-559-4382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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Taxonomy #4
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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Taxonomy #5
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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