Rebirth LLC

Organization Active NPI Clinical Social Worker · Maxton, NC

NPI 1689333544 · NPPES record last updated Dec 8, 2021

Key facts

NPI
1689333544
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
REBIRTH LLC
Practice address
534 McGirt Road
Maxton, NC 28364
Phone
(910) 373-7035
Fax
(843) 400-5045
NPI assigned
Dec 8, 2021
Organization subpart
No

Authorized official

Name
Robert Lamont Smith, MSW, LCSW, LCAS, LAS
Title
Ceo
Phone
(910) 373-7035

National Provider Directory

Locations

534 McGirt Rd
Maxton, NC 28364
Phone (910) 373-7035

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
101YA0400X
Clinical Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

534 McGirt Road
Maxton, NC 28364

Mailing address

P.O. Box 400
Maxton, NC 28364
Phone (910) 373-7035

Other providers in Maxton, NC

All providers in Maxton, NC · Clinical Social Worker in North Carolina

Sources for this page

Verify at the official NPI Registry.