Faulk, Norma Moody
Faulk, Norma Moody is an sole proprietor health care provider with primary practice located at 237 W Pennsylvania Ave , Southern Pines NC 28387-5430. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Faulk, Norma Moody can be contacted via phone (910) 725-1015.Contact Information
Primary practice address
237 W Pennsylvania Ave
Southern Pines NC 28387-5430
Phone: (910) 725-1015
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | A8224 | North Carolina |
Profile Details
| NPI number | 1043459357 |
|---|---|
| LBN Legal business name | Faulk, Norma Moody |
| Credentials | MA, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 10th, 2009 |
| Last updated | May 9th, 2012 - about 14 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043459357 | NPPES |
| North Carolina | MEDICAID | 67582H2142L2 |
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