| Rebirth LLC | |
|
534 Mcgirt Road Maxton NC 28364 | |
| (910) 373-7035 | |
| (843) 400-5045 |
| Full Name | Rebirth LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 534 Mcgirt Road, Maxton, North Carolina |
| Authorized Official Name and Position | Robert Lamont Smith (CEO) |
| Authorized Official Contact | 9103737035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebirth LLC P.o. Box 400 Maxton NC 28364 Ph: (910) 373-7035 | Rebirth LLC 534 Mcgirt Road Maxton NC 28364 Ph: (910) 373-7035 |
| NPI Number | 1689333544 |
|---|---|
| Provider Enumeration Date | 12/08/2021 |
| Last Update Date | 12/08/2021 |
| Certification Date | 12/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689333544 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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