MS. KELLEY PERKINS PEACOCK


Address: 553 Weyburn Dr Nw, Concord, NC 28027-3414
Phone: 9806218380

MS. KELLEY PERKINS PEACOCK (NPI# 1275854267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275854267
Entity Type Individual
Full Name MS. KELLEY PERKINS PEACOCK
Practice Address 553 Weyburn Dr Nw
Concord
NC 28027-3414
Practice Telephone 9806218380
Mailing Telephone 9806218380
Enumeration Date 2010-06-14
Last Update Date 2010-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
4725 NC Behavioral Health & Social Service Providers

Office Location

Street Address 553 WEYBURN DR NW
City CONCORD
State NC
Zip Code 28027-3414

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1598278194 Autumn Nobles Specialist/Technologist 10193 Falling Leaf Dr Nw, Concord, NC 28027 2017-11-06
1386192938 Brundasudha Satti IIi Physical Therapist 379 Sutoforest Dr Nw, Concord, NC 28027 2016-09-12
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1780887844 Shelley Rebecca Hull Counselor 87 Palaside Dr Ne, Concord, NC 28025-3056 2007-06-07
1487076634 Jacklyn Ocanas Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2014-01-07
1083749733 Blanca Danielle Boersma Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2007-02-22
1306971122 Russell Carl Marks Counselor 1034 Oak Grove Rd, Concord, CA 94518-3225 2007-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053888313 Kristine B Keith Counselor 133 Ne 32nd St, Oak Island, NC 28465-5922 2018-10-25
1003329194 Gabriel Rosenboro Counselor 4400 Old Poole Rd, Raleigh, NC 27610-3033 2017-11-10
1740732866 Aleya Karenton Willis Counselor 10410 Grand Fir Rd, Charlotte, NC 28227-3691 2016-10-25
1972913358 Add Flavour Counselor 1710 Michigan Cir, Lumberton, NC 28358-7129 2014-05-06
1013351071 Cynthia Gaie Counselor 601 Friendway Rd, Apt 1j, Greensboro, NC 27410-6400 2013-04-22
1982953436 Healing Hope Habilitation Services Counselor 5109 New Moon Dr, Fayetteville, NC 28306-3515 2012-08-30
1033478805 Julie Lynn Callahan Counselor 120 Ludlow Street, Albemarle, NC 28001 2012-05-14
1033430608 Norma Totten Lee Counselor 274 Oakwood Drive, Oakwood Elementary School, Yanceyville, NC 27379-0640 2010-06-18
1124348040 Sara Jane Ross Counselor 306 S. Horton St., Hamilton, NC 27840-0250 2010-06-02
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Competitor

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City CONCORD
Zip Code 28027

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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