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Organization
PROFESSIONAL EARLY INTERVENTION SERVICES, LLC
Active
Organization
PROFESSIONAL EARLY INTERVENTION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA M CARROLL (CEO)
(910) 425-6282
Entity
Organization
Contact information
Practice address
310A BRATTON DR # A, GARNER, NC 27529-7827
(910) 425-6282
Mailing address
1708A OWEN DR, FAYETTEVILLE, NC 28304-3419
(910) 425-6282
(910) 425-6554
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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