# ROBERT C. PENNEBAKER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cumberland Behavioral Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144657677
- **Authorized official:** MR. ROBERT CHRISTOPHER PENNEBAKER PMHNP-BC, LCSW (PRESIDENT)
- **Authorized official phone:** (910) 977-1396

## Contact information

- **Practice address:** 2931 BREEZEWOOD AVE STE 104, FAYETTEVILLE, NC 28303-5281
- **Practice address phone:** (910) 491-1134
- **Practice address fax:** (910) 491-1332
- **Mailing address:** 5774 WATERS EDGE DR, FAYETTEVILLE, NC 28314-1055
- **Mailing address phone:** (910) 977-1396

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | C002032 | NC | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 5005524 | NC | Yes |

## Other

- **Enumeration date:** 09/30/2013
- **Last updated:** 11/30/2020
