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Contact Information

COMMUNITY INNOVATIONS, INC.
1781 SOUTH MAIN STREET
LAURINBURG, NC28352
 Phone: 910-277-3212
 Fax: 910-277-3214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Mental Health

101YM0800X
 

Professional

101YP2500X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for COMMUNITY INNOVATIONS INC · (Female)

NPI # 1679643373
Status Active
Credentials
Entity Individual
Enumeration date 11/09/2006
Last updated 10/21/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • NC Medicaid 8300959
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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