Organization
INTEGRATED FAMILY SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY PETTEWAY (CREDENTIALING SPECIALIST)
(252) 439-0700
Entity
Organization
Contact information
Practice address
202 NC HIGHWAY 42 W, AHOSKIE, NC 27910-9743
(252) 209-0388
(252) 209-0488
Mailing address
P O BOX 885, AHOSKIE, NC 27910-0885
(252) 209-0388
(252) 209-0422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0003507
NC
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/13/2006
Last updated
05/10/2023
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