Provider Demographics
NPI:1902481443
Name:CAROLINA COMMUNITY CONSULTANTS, PLLC
Entity Type:Organization
Organization Name:CAROLINA COMMUNITY CONSULTANTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:PROF
Authorized Official - First Name:IMANI
Authorized Official - Middle Name:
Authorized Official - Last Name:ARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, MPA
Authorized Official - Phone:919-824-1299
Mailing Address - Street 1:4992 WINDING RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27406-3158
Mailing Address - Country:US
Mailing Address - Phone:919-824-1299
Mailing Address - Fax:844-984-3614
Practice Address - Street 1:2627 GRIMSLEY ST
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27403-3135
Practice Address - Country:US
Practice Address - Phone:335-437-2354
Practice Address - Fax:336-279-1226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty