Dara Nataka Adesimbo Grimes, M.ED

Individual provider Active NPI Case Manager/Care Coordinator · Liberty, NC

NPI 1689377673 · NPPES record last updated Jun 6, 2023

Key facts

NPI
1689377673
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
108 N Fayetteville St
Liberty, NC 27298-3203
Phone
(336) 814-1731
NPI assigned
Mar 27, 2023
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Steps and Solutions LLC Current Accepting new patients
Advanced Progress Consultants LLC Mental Health Current
since Dec 15, 2024
Accepting new patients

Locations

108 N Fayetteville St
Liberty, NC 27298
Phone (336) 508-4884

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes
Mental Health Counselor 101YM0800X
Peer Specialist 175T00000X

Addresses

Primary practice location

108 N Fayetteville St
Liberty, NC 27298-3203

Mailing address

6359 Patterson Rd
Snow Camp, NC 27349-9015
Phone (336) 814-1731

Other providers in Liberty, NC

All providers in Liberty, NC · Case Manager/Care Coordinator in North Carolina

Sources for this page

Verify at the official NPI Registry.