PROFESSIONAL EARLY INTERVENTION SERVICES, LLC - NPI 1629151832

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Professional Early Intervention Services, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROFESSIONAL EARLY INTERVENTION SERVICES, LLC (NPI 1629151832) is a healthcare organization registered as a multi-specialty in Fayetteville, North Carolina and active in the NPI registry since October 2006. The organization maintains a secondary practice location in Fayetteville and lists Cynthia M Carroll, Owner, as its authorized official.

NPPES Registry Identity

NPI1629151832

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePROFESSIONAL EARLY INTERVENTION SERVICES, LLC

Location Address1708A OWEN DRFayetteville, NC 28304-3419

Mailing Address1708a Owen DrFayetteville, NC 28304-3419 · (910) 425-6282 · Fax (910) 425-6554

Phone(910) 425-6282

Fax(910) 425-6554

Organization SubpartNo

Authorized OfficialCynthia M CarrollOwner · (910) 425-6282

Enumeration DateOctober 23, 2006

Last NPPES UpdateApril 1, 2022

NPPES CertifiedApril 1, 2022

✔ NPI 1629151832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

Also ListedPhysical Therapist · PediatricsTaxonomy 2251P0200X

Also ListedOccupational TherapistTaxonomy 225X00000X

Also ListedSpeech-Language PathologistTaxonomy 235Z00000X

Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedClinic/Center · Hearing and SpeechTaxonomy 261QH0700X

Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X

Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X

1708A OWEN DR, Fayetteville, NC 28304

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Secondary Practice Location 1

Location 12722 Fort Bragg RdFayetteville, NC 28303-4721 · Phone (910) 425-6282 · Fax (910) 425-6554

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANGELITO CABACAB SY MD

Pediatrics