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Organization
KAM'S CORNER, LLC
Active
Organization
KAM'S CORNER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA NICOLE STREET MSW/LCSW (CEO)
(276) 734-3421
Entity
Organization
Contact information
Practice address
120 E BLUE RIDGE STREET, STUART, VA 24171
(276) 734-3421
Mailing address
1612 FAIRCREST LN, GREENSBORO, NC 27406-9809
(276) 734-3421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
05/09/2023
Last updated
02/27/2026
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