Provider Demographics
NPI:1598512931
Name:CORNBREAD & ROSES COMMUNITY COUNSELING INC
Entity type:Organization
Organization Name:CORNBREAD & ROSES COMMUNITY COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEPAC
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:828-507-6648
Mailing Address - Street 1:1294 SAVANNAH DR
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-7005
Mailing Address - Country:US
Mailing Address - Phone:828-283-0235
Mailing Address - Fax:
Practice Address - Street 1:1294 SAVANNAH DR
Practice Address - Street 2:
Practice Address - City:SYLVA
Practice Address - State:NC
Practice Address - Zip Code:28779-7005
Practice Address - Country:US
Practice Address - Phone:828-283-0235
Practice Address - Fax:828-522-3039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-03
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty