1326435314 CROWN LEGACY SUPPORTIVE SERVICESLLC

Clinical Social Worker

Active

Basic Information

Organization Name
CROWN LEGACY SUPPORTIVE SERVICESLLC
Enumeration Date
April 17, 2015
Last Update
April 17, 2015
Authorized Official
SANDRA BRADLEY REID MHA,MBA
CHIEF EXECUTIVE OFFICER
Phone: (704) 333-5686

Practice Location

Address
715 E 5TH ST
SUITE 216
CHARLOTTE, NC 282023001
Phone
(704) 333-5686
Fax
(704) 376-1931

Mailing Address

Address
715 E 5TH ST
SUITE 216
CHARLOTTE, NC 282023001
Phone
(704) 333-5686
Fax
(704) 376-1931

Specialties & Taxonomies

Specialty Code Classification License State Primary
Case Management Agency
251B00000X Case Management N/A N/A No
Community/Behavioral Health Agency
251S00000X Community/Behavioral Health N/A N/A No
Early Intervention Provider Agency
252Y00000X Early Intervention Provider Agency N/A N/A No
In Home Supportive Care Agency
253Z00000X In Home Supportive Care N/A N/A No
Private Vehicle
347C00000X Private Vehicle N/A N/A No
Respite Care
385H00000X Respite Care N/A N/A No
Clinical Social Worker
Clinical
1041C0700X Social Worker N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
6008557 05 NC N/A

Frequently Asked Questions

What is CROWN LEGACY SUPPORTIVE SERVICESLLC's NPI number?
CROWN LEGACY SUPPORTIVE SERVICESLLC's NPI number is 1326435314.
Which doctor has NPI number 1326435314?
The doctor with NPI number 1326435314 is CROWN LEGACY SUPPORTIVE SERVICESLLC.
What is CROWN LEGACY SUPPORTIVE SERVICESLLC's practice address?
CROWN LEGACY SUPPORTIVE SERVICESLLC's practice address is 715 E 5TH ST, SUITE 216, CHARLOTTE, NC, 282023001.
Which doctor practices at 715 E 5TH ST, SUITE 216, CHARLOTTE, NC, 282023001?
CROWN LEGACY SUPPORTIVE SERVICESLLC practices at 715 E 5TH ST, SUITE 216, CHARLOTTE, NC, 282023001.
What is CROWN LEGACY SUPPORTIVE SERVICESLLC's phone number?
CROWN LEGACY SUPPORTIVE SERVICESLLC's phone number is (704) 333-5686.
Who is (704) 333-5686?
(704) 333-5686 is the phone number for CROWN LEGACY SUPPORTIVE SERVICESLLC.
What is CROWN LEGACY SUPPORTIVE SERVICESLLC's specialty?
CROWN LEGACY SUPPORTIVE SERVICESLLC's specialty is Clinical Social Worker.
What type of doctor is CROWN LEGACY SUPPORTIVE SERVICESLLC?
CROWN LEGACY SUPPORTIVE SERVICESLLC is a Clinical Social Worker.
Is CROWN LEGACY SUPPORTIVE SERVICESLLC a Clinical?
Yes, CROWN LEGACY SUPPORTIVE SERVICESLLC is a Clinical.
Is CROWN LEGACY SUPPORTIVE SERVICESLLC still practicing?
Yes, CROWN LEGACY SUPPORTIVE SERVICESLLC is currently practicing.
Is CROWN LEGACY SUPPORTIVE SERVICESLLC accepting new patients?
CROWN LEGACY SUPPORTIVE SERVICESLLC may be accepting new patients. Please call their office at (704) 333-5686 to inquire about availability.
Is NPI 1326435314 still active?
Yes, NPI 1326435314 is currently active.
Where does CROWN LEGACY SUPPORTIVE SERVICESLLC practice?
CROWN LEGACY SUPPORTIVE SERVICESLLC practices in CHARLOTTE, NC.