Provider Demographics
NPI:1891500823
Name:R&R BEHAVIORAL HEALTH & CONSULTING PLLC
Entity type:Organization
Organization Name:R&R BEHAVIORAL HEALTH & CONSULTING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:FREDERICK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW/LCAS
Authorized Official - Phone:732-570-6698
Mailing Address - Street 1:PO BOX 8041
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-9007
Mailing Address - Country:US
Mailing Address - Phone:732-570-6698
Mailing Address - Fax:
Practice Address - Street 1:205 N EASTERN BLVD STE A
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5105
Practice Address - Country:US
Practice Address - Phone:732-570-6698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-07
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health