Cultivating Change, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

CULTIVATING CHANGE, LLC

Practice address

2109 Saint Andrew St
Ste 18
Tarboro, NC 27886-2149

Phone

(252) 458-1783

NPI assigned

Aug 12, 2008

Last updated

Jul 13, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Duwanda S Conway

Title

Orgainzer/Member

Phone

(252) 458-1783

Specialties & licenses 4

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Prime Screening Diagnostics

  • Clinical Medical Laboratory
  • Wilson, NC
  • NPI 1386587327
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Duwanda Epps

  • Mental Health Counselor
  • Wilson, NC
  • NPI 1497153399
  NPD

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1710133608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 S PITT ST",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281884",
            "telephone_number": "252-458-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 SAINT ANDREW ST",
            "address_2": "STE 18",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862149",
            "telephone_number": "252-458-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATING CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "DUWANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ORGAINZER/MEMBER",
        "authorized_official_telephone_number": "252-458-1783",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jerry Evan Coy, CRNA
• Created for This Doula Services LLC
• Cristen's Caring Corner LLC
• Lakiesha Cross
• Wendy Loraine Cubero, EDS.
• D-Pom L.L.C
• D-Pom LLC
• Alberto J D'Empaire, M.D.
• Marlene Dail, RN
• Susan Ann Dancy, BSW, MPH, LALA

• Case Management Agency in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.