Provider Demographics
NPI:1538607015
Name:FLEMING, QIANA MONIQUE (LCSWA)
Entity type:Individual
Prefix:
First Name:QIANA
Middle Name:MONIQUE
Last Name:FLEMING
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 HINTON RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-8761
Mailing Address - Country:US
Mailing Address - Phone:919-797-6269
Mailing Address - Fax:
Practice Address - Street 1:80 HINTON RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-8761
Practice Address - Country:US
Practice Address - Phone:919-797-6269
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0109081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical