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Organization
GIFTED GUIDANCE
Active
Organization
GIFTED GUIDANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AYANA TYI ROBINSON B.S., M.ED (CEO)
(516) 395-0509
Entity
Organization
Contact information
Practice address
960 COPPERFIELD BLVD NE, CONCORD, NC 28025-2433
(704) 659-6933
(888) 397-9354
Mailing address
13204 DELANEY DR, CONCORD, NC 28027-8284
(704) 659-6933
(888) 397-9384
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
02/20/2019
Last updated
06/20/2019
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