Circle of Courage of Brunswick Co., LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

010059 Issued in NC

Legal business name

CIRCLE OF COURAGE OF BRUNSWICK CO., LLC

Practice address

3205 Randall Pkwy
Suite 207
Wilmington, NC 28403-2564

Phone

(910) 338-0001

Fax

(910) 341-7220

NPI assigned

Apr 18, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Laronda Y Woods

Title

Owner

Phone

(910) 338-0001

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1306010533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 RANDALL PKWY",
            "address_2": "SUITE 207",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032564",
            "telephone_number": "910-338-0001",
            "fax_number": "910-341-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 RANDALL PKWY",
            "address_2": "SUITE 207",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032564",
            "telephone_number": "910-338-0001",
            "fax_number": "910-341-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF COURAGE OF BRUNSWICK CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "LARONDA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-338-0001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "010059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste M Cianciulli, LCSW
• Sonya Jean Ciancutti, LCSW
• Dominic Ciccocioppo
• Maria Cillo, M.S. CCC-SLP
• Emily Tinley Cipalla, MA CCC-SLP
• Circle of Courage Ultimate Support Network, LLC
• Serban Gabriel Cismarescu, DMD
• Kylie Citty
• Ckfogleman OD, PLLC
• Michele Clancy, MD

• Emotionally Disturbed Childrens' Residential Treatment Facility in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.