Provider Demographics
NPI:1588436562
Name:THE KNOW GOOD GIFT , LLC
Entity type:Organization
Organization Name:THE KNOW GOOD GIFT , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CASANDRA
Authorized Official - Middle Name:FAYELOU
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:CPSS
Authorized Official - Phone:980-585-9179
Mailing Address - Street 1:5937 HAMILTON OAKS DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28216-3768
Mailing Address - Country:US
Mailing Address - Phone:980-585-9179
Mailing Address - Fax:
Practice Address - Street 1:625 HARWYN DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28215-2029
Practice Address - Country:US
Practice Address - Phone:980-585-9179
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE KNOW GOOD GIFT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health