Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rebel Goat Farm, Inc

Organization Counselor · NPI 1649876566

Rebel Goat Farm, Inc is a Counselor in Saint Pauls, North Carolina. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

250 Millionaire Rd
Saint Pauls, NC 28384-8251
Phone: (910) 241-3273
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Counselor Taxonomy 101Y00000X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X

Record details

NPI number1649876566
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Wahlman — Director And Co-Founder · (910) 241-3273
NPI enumeratedDecember 7, 2020
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020
Mailing address250 Millionaire Rd, Saint Pauls, NC 28384-8251

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