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FRESHWINDS INC NPI 1861534794


NPI Information

NPI: 1861534794
Provider Name: FRESHWINDS, INC

Other Name: CRABTREE CREEK CLINIC

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
4000 BLUE RIDGE RD
SUITE 200
RALEIGH, NC
ZIP 27612
Phone: (919) 782-4981
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FRESHWINDS, INC is a professional counselor in Raleigh, NC. FRESHWINDS, INC NPI is 1861534794. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Crabtree Creek Clinic.

The provider's business location address is:

4000 BLUE RIDGE RD
SUITE 200
RALEIGH, NC
ZIP 27612-650
Phone: (919) 782-4981
Fax: (919) 782-2474

The provider's authorized official is Leola A Young .
The authorized official title is Office Manager and has the following contact phone number (919) 782-4981.

The enumeration date for this NPI number is 2/14/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessional3842NORTH CAROLINAYes
2101YP2500XCounselorProfessional2552NORTH CAROLINAX
3101YP2500XCounselorProfessional5149NORTH CAROLINAX
4101YP2500XCounselorProfessional5191NORTH CAROLINAX
5101YP2500XCounselorProfessional4935NORTH CAROLINAX
61041C0700XSocial WorkerClinicalC003843NORTH CAROLINAX
71041C0700XSocial WorkerClinicalC003327NORTH CAROLINAX
81041C0700XSocial WorkerClinicalC005034NORTH CAROLINAX
91041C0700XSocial WorkerClinicalC004159NORTH CAROLINAX
101041C0700XSocial WorkerClinicalC003502NORTH CAROLINAX
111041C0700XSocial WorkerClinicalC005179NORTH CAROLINAX
121041C0700XSocial WorkerClinicalC002691NORTH CAROLINAX
13103TC2200XPsychologistClinical Child & Adolescent1963NORTH CAROLINAX
141041C0700XSocial WorkerClinicalC004886NORTH CAROLINAX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
16005649MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.