# ACADEMY1

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396689816
- **Authorized official:** KARLISHIA ROSS (EDUCATIONAL SPECIALIST)
- **Authorized official phone:** (910) 401-8797

## Contact information

- **Practice address:** 429 PERSON ST, FAYETTEVILLE, NC 28301-5737
- **Practice address phone:** (910) 401-8797
- **Mailing address:** 429 PERSON ST, FAYETTEVILLE, NC 28301-5737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101200000X | Drama Therapist | — | NULL | — |
| 101200000X | Drama Therapist | — | — | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YS0200X | School Counselor | — | NULL | — |
| 101YS0200X | School Counselor | — | — | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | NULL | — |
| 103TB0200X | Cognitive & Behavioral Psychologist | — | — | — |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 172A00000X | Driver | — | NULL | — |
| 172A00000X | Driver | — | — | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 364SS0200X | School Clinical Nurse Specialist | — | NULL | — |
| 364SS0200X | School Clinical Nurse Specialist | — | — | — |
| 376J00000X | Homemaker | — | NULL | — |
| 376J00000X | Homemaker | — | — | — |

## Other

- **Enumeration date:** 04/15/2026
- **Last updated:** 04/15/2026