SearchNorth Carolina1041C0700X

Tania Stack, MSW, LCSW, CHC

NPI 1639505621 · on the registry since 2013

Practice

Address
300 N Grace St
Rocky Mount, NC 27804
Phone
(252) 210-9856
Fax
(252) 822-5067
Organisation at this address
Pharmblue North Carolina Llc
Opportunities Industrialization Center, Inc
Opportunities Industrialization Center, Inc
Opportunities Industrialization Center, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
16

Additional practice sites

  • 3416 Poole Rd Ste 120, Raleigh, NC

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-03-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina