Individual provider · Type 1 NPI

Razhedatequila Eunicetage Sanford, LCSW LCAS CSI

Community/Behavioral Health Agency · Gastonia, NC

NPI number 1306374160 Active

Practice location

3481 Bear Den Dr
Gastonia, NC 28052-0009

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000XC015805 (NC)
Clinical Social Worker 1041C0700XC015805 (NC)
Community/Behavioral Health Agency Primary 251S00000XC015805 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X25881 (NC)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1306374160

Razhedatequila Eunicetage Sanford, LCSW LCAS CSI's National Provider Identifier is 1306374160, issued on May 24, 2017. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Gastonia, NC. The record was last updated on Feb 4, 2026.