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Mrs. Stehanie D Wall
Private Vehicle in Raeford, North Carolina
NPI 1083045306

Stehanie D Wall is a Private Vehicle based in Hope Mills, NC. Stehanie D Wall practices in Raeford, NC. The NPI Number for Stehanie D Wall is 1083045306 and holds a License No. MHL-047-152 (North Carolina).

The current practice location address for Stehanie D Wall is 1357 Wayside Rd, Raeford, NC and can be reached out via phone at 910-565-2139.

Location: 1357 Wayside Rd, Raeford, NC, 28348-5726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083045306
Provider Name
Stehanie D Wall
Credential
Provider Entity Type
Individual
Gender
Female
Address
1357 Wayside Rd, Raeford, NC, 28348-5726
Phone Number
910-565-2139
Fax Number
Provider Enumeration Date
12/12/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1083045306 05 SC
1083045306 01 SC STATE FUND
institution
Provider Business Practice Location Address Details
Address
1357 Wayside Rd
City
Raeford
State
North Carolina
Zip
28376-6513
Phone Number
910-565-2139
Fax Number
person
Provider Business Mailing Address Details
Address
1357 Wayside Rd
City
Raeford
State
North Carolina
Zip
28376-6513
Phone Number
910-565-2139
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
27-0962043 (South Carolina)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
27-0962043 (South Carolina)
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 3
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
MHL-047-152 (North Carolina)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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