1497364145 NPI number — MRS. AUGUST RHIANNON ORMAND LCSWA

Table of content: MRS. AUGUST RHIANNON ORMAND LCSWA (NPI 1497364145)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1497364145 NPI number — MRS. AUGUST RHIANNON ORMAND LCSWA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ORMAND
Provider First Name:
AUGUST
Provider Middle Name:
RHIANNON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSWA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COOK/FOWLER
Provider Other First Name:
AUGUST
Provider Other Middle Name:
RHIANNON
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1497364145
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
140 BEACH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MORGANTON
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28655-3515
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-475-0149
Provider Business Mailing Address Fax Number:
828-475-0150

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
140 BEACH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655-3515
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-475-0149
Provider Business Practice Location Address Fax Number:
828-475-0150
Provider Enumeration Date:
07/29/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  P014708 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com