Organization
ACADEMY1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLISHIA ROSS (EDUCATIONAL SPECIALIST)
(910) 401-8797
Entity
Organization
Contact information
Practice address
429 PERSON ST, FAYETTEVILLE, NC 28301-5737
(910) 401-8797
Mailing address
429 PERSON ST, FAYETTEVILLE, NC 28301-5737
Taxonomy
Speciality
Code
Description
License number
State
101200000X
Drama Therapist
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
104100000X
Social Worker
—
—
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
364SS0200X
School Clinical Nurse Specialist
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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