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Organization
REBIRTH LLC
Active
Organization
REBIRTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT LAMONT SMITH MSW, LCSW, LCAS, LAS (CEO)
(910) 373-7035
Entity
Organization
Contact information
Practice address
534 MCGIRT ROAD, MAXTON, NC 28364
(910) 373-7035
(843) 400-5045
Mailing address
P.O. BOX 400, MAXTON, NC 28364
(910) 373-7035
(843) 400-5045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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