Organization
ROBERT C. PENNEBAKER PLLC
Active
Other names
Cumberland Behavioral Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CHRISTOPHER PENNEBAKER PMHNP-BC, LCSW (PRESIDENT)
(910) 977-1396
Entity
Organization
Contact information
Practice address
2931 BREEZEWOOD AVE STE 104, FAYETTEVILLE, NC 28303-5281
(910) 491-1134
(910) 491-1332
Mailing address
5774 WATERS EDGE DR, FAYETTEVILLE, NC 28314-1055
(910) 977-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
C002032
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5005524
NC
Other
Enumeration date
09/30/2013
Last updated
11/30/2020
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