# ROANOKE RAPIDS GRADED SCHOOL DISTRICT

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

## Provider details

- **NPI number:** 1407999899
- **Authorized official:** MRS. ELLEN R BURNETT LPA (MENTAL HEALTH DIRECTOR)
- **Authorized official phone:** (252) 519-7108

## Contact information

- **Practice address:** 536 HAMILTON ST, ROANOKE RAPIDS, NC 27870-2702
- **Practice address phone:** (252) 519-7108
- **Practice address fax:** (252) 535-5919
- **Mailing address:** 536 HAMILTON ST, ROANOKE RAPIDS, NC 27870-2702
- **Mailing address phone:** (252) 519-7108
- **Mailing address fax:** (252) 535-5919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC2200X | Clinical Child & Adolescent Psychologist | 0693 | NC | Yes |

## Other

- **Enumeration date:** 02/15/2007
- **Last updated:** 08/22/2020