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NPI Code Detail

MEDICARE: VANECIA STORMS LCAS-A

MEDICARE: VANECIA STORMS LCAS-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC018300NC
2101YA0400XAddiction (Substance Use Disorder) CounselorLCAS-27214NC

General Provider Information

NPI Number : 1174191738
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANECIA STORMS LCAS-A
Provider Business Mailing Address
First Line : 1013 GLEN REILLY DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28314-5612
Country : US
Telephone Number : 910-322-2245
Fax Number :
Provider Business Practice Location Address
First Line : 418 PERSON ST STE 103
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-5886
Country : US
Telephone Number : 910-483-0958
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2021
Last Update Date : 05/26/2025

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Directions to “ VANECIA STORMS LCAS-A” Practice Location

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