MEDICARE: GLOBAL OUTREACH TELEREHABILITATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	133V00000X	Registered Dietitian
2	101YA0400X	Addiction (Substance Use Disorder) Counselor
3	103T00000X	Psychologist
4	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1457193955
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLOBAL OUTREACH TELEREHABILITATION

Provider Business Mailing Address
First Line	:	214 FAIRWAY DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5502
Country	:	US
Telephone Number	:	910-670-9088
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 FAIRWAY DR
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5502
Country	:	US
Telephone Number	:	910-670-9088
Fax Number	:	910-808-1042

Authorized Official
Title or Position	:	OWNER
Name	:	ROSALIND ALEXANDRIA WOODS
Credential	:
Telephone Number	:	910-670-9088

Provider Enumeration Date	:	06/07/2024
Last Update Date	:	04/29/2025

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