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Contact Information

A-1 COMMUNITY SUPPORT LLC
523 S CHESTNUT ST
HENDERSON, NC27536-4102
 Phone: 252-433-0255
 Fax: 252-436-6575
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Addiction (Substance Use Disorder)

101YA0400X
 

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for A 1 COMMUNITY SUPPORT LLC · (Female)

NPI Number 1487837787
Status Active
Credentials
Entity Individual
Enumeration date 12/10/2007
Last updated 01/22/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 6006444
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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