Organization
CARE2LOVEINACTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAMERA D MCQUEEN MS (OWNER)
(336) 602-5519
Entity
Organization
Contact information
Practice address
1382 DOWDEN ST, KERNERSVILLE, NC 27284-0107
(336) 602-5519
Mailing address
1382 DOWDEN ST, KERNERSVILLE, NC 27284-0107
(336) 602-5519
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
101YS0200X
School Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1382
—
NC
Enumeration date
08/29/2022
Last updated
08/29/2025
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