Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
REBEL GOAT FARM,INC
Active
Organization
REBEL GOAT FARM,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER MARY WAHLMAN (DIRECTOR AND CO-FOUNDER)
(910) 241-3273
Entity
Organization
Contact information
Practice address
250 MILLIONAIRE RD, SAINT PAULS, NC 28384-8251
(910) 241-3273
Mailing address
250 MILLIONAIRE RD, SAINT PAULS, NC 28384-8251
(910) 241-3273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/08/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up