Provider Demographics
NPI:1194806182
Name:CUMBERLAND COUNTY MENTAL HEALTH
Entity type:Organization
Organization Name:CUMBERLAND COUNTY MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN SERVICE CLINICAL COUNSELOR II
Authorized Official - Prefix:MS
Authorized Official - First Name:SEBRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GEORGE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:910-323-2311
Mailing Address - Street 1:962 STEWARTS CREEK DR APT 2
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28314-1173
Mailing Address - Country:US
Mailing Address - Phone:910-764-1264
Mailing Address - Fax:
Practice Address - Street 1:962 STEWARTS CREEK DR APT 2
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28314-1173
Practice Address - Country:US
Practice Address - Phone:910-764-1264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health