CLOVER COMMUNITY CARE LLC
NPI 1417540998
Counselor - Mental Health in Rockingham, NC
Active since February 16, 2021
About Clover Community Care Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLOVER COMMUNITY CARE LLC (NPI 1417540998) is a healthcare organization registered as a mental health in Rockingham, North Carolina and active in the NPI registry since February 2021. The organization lists Garcia L Morman, Ceo, as its authorized official.
NPPES Registry Identity
NPI1417540998
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCLOVER COMMUNITY CARE LLC
Location Address627 E BROAD AVERockingham, NC 28379-3758
Mailing Address222 S Randolph St Apt 2Rockingham, NC 28379-3600 · (910) 461-9955
Phone(910) 461-9955
Organization SubpartNo
Authorized OfficialGarcia L MormanCeo · (910) 461-9955
Enumeration DateFebruary 16, 2021
NPPES CertifiedFebruary 16, 2021
✔ NPI 1417540998 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
627 E BROAD AVE, Rockingham, NC 28379
Group Practice 1
Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417540998, enumerated as an "organization" on February 16, 2021.
The provider is located at 627 E BROAD AVE ROCKINGHAM, NC 28379 and the phone number is (910) 461-9955.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.