Provider Demographics
NPI:1124556675
Name:EARLY INTERVENTION WORKS, LLC
Entity type:Organization
Organization Name:EARLY INTERVENTION WORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLAURIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-544-3327
Mailing Address - Street 1:138 IVY TRL
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7422
Mailing Address - Country:US
Mailing Address - Phone:843-544-3327
Mailing Address - Fax:
Practice Address - Street 1:138 IVY TRL
Practice Address - Street 2:
Practice Address - City:ROCKINGHAM
Practice Address - State:NC
Practice Address - Zip Code:28379-7422
Practice Address - Country:US
Practice Address - Phone:843-544-3327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency