ACCESS FAMILY SERVICES, INC (NPI# 1043378300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043378300 |
| Entity Type | Organization |
| Organization Name | ACCESS FAMILY SERVICES, INC |
| Practice Address |
2633 West Blvd Charlotte NC 28208-6705 |
| Mailing Address |
Po Box 19649 Charlotte NC 28219-9649 |
| Practice Telephone | 7045214977 |
| Practice Fax Number | 7045218541 |
| Mailing Telephone | 7045214977 |
| Mailing Fax Number | 7045218541 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | MR. DEREK BULLARD (CEO) |
| Authorized Official Telephone | 7045214977 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 89014HW | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780743856 | Access Family Services, Inc | Community/Behavioral Health | 920 Blairhill Rd Ste 101, Charlotte, NC 28217-1563 | 2006-12-06 |
| 1700061660 | Access Family Services, Inc | Family Medicine | 2633 West Blvd, Charlotte, NC 28208-6705 | 2008-01-09 |
| 1700954195 | Access Family Services, Inc | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2006-12-01 |
| Street Address |
2633 WEST BLVD |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28208-6705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104930700 | Mary Louise Mack | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2006-08-19 |
| 1861852261 | Anita Sheryll Wiley-holman | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2016-02-26 |
| 1073991832 | Julie Kathleen Campbell | Social Worker | 2633 West Blvd, Charlotte, NC 28208-6705 | 2015-05-13 |
| 1306232152 | Therese Newton | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2015-04-08 |
| 1083028518 | Tashina Stout | Social Worker | 2633 West Blvd, Charlotte, NC 28208-6705 | 2014-06-12 |
| 1225441736 | Amanda Justice | Social Worker | 2633 West Blvd, Charlotte, NC 28208-6705 | 2014-06-03 |
| 1215350681 | Lakisha Raymon | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2014-01-21 |
| 1811339351 | Theodore-joel U Oparah | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2013-07-25 |
| 1124464805 | Andrea Renee Whitener | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2013-05-21 |
| 1205184173 | Jennifer Marie Efune | Counselor | 2633 West Blvd, Charlotte, NC 28208-6705 | 2012-08-26 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1124645544 | Charlotte Sp Senior Housing Opco, LLC | Custodial Care Facility | 6041 Piedmont Row Drive, Charlotte, NC 28208 | 2020-07-01 |
| 1750929659 | Tru Pearl Solution Services Pllc | Community/Behavioral Health | 2128 Remount Road Suite B, Charlotte, NC 28208 | 2019-12-11 |
| 1245880699 | Camilla A Raley | Technician | 1539 Walton Rd, Charlotte, NC 28208 | 2019-09-18 |
| 1912567041 | Nolan Scott Blake | In Home Supportive Care | 4926 Ridgeley Dr., Suite B, Charlotte, NC 28208 | 2019-06-20 |
| 1699244145 | Catalyst Chiropractic, Pllc | Chiropractor | 2620 Tuckaseegee Rd., Charlotte, NC 28208 | 2018-11-14 |
| 1255854691 | Jessica Lynne Hunter | Social Worker | 2011 Water Walk Lane Apt 209, Charlotte, NC 28208 | 2017-07-18 |
| 1700311420 | Matthew Christian Mundorf | Chiropractor | 2620 Tuckaseegee Rd, Charlotte, NC 28208 | 2017-05-01 |
| 1700235439 | Erin Merchant | Counselor | 2016 Millerton Avenue, #2213, Charlotte, NC 28208 | 2016-06-03 |
| 1528432564 | Monika Sheree Moore | Counselor | 3205 Freedom Dr, Charlotte, NC 28208 | 2015-11-13 |
| 1205224540 | Phadality Home Care | Home Health | 201 S Hoskins Rd., Suite 119, Charlotte, NC 28208 | 2015-01-08 |
| Find all providers in zip 28208 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821112665 | Carolinas Rehabilitation | Psychologist | 1100 Blythe Blvd, Charlotte, NC 28203-5814 | 2007-03-19 |
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|---|---|---|---|---|
| 1801453063 | The Noel House | Psychologist | 117 E Lochhaven Dr, Fayetteville, NC 28314-1344 | 2019-05-23 |
| 1427315290 | Patricia Ann Ward | Psychologist | 1463 Jasper Rd, Greenville, NC 27834-6521 | 2012-04-18 |
| 1669704664 | Superior Living,llc | Psychologist | 3709 Columbia Ave Nw, Wilson, NC 27896-1604 | 2010-02-02 |
| 1649341488 | Psychotherapeutic Services, Inc | Psychologist | 2260 S. Church St, Suite 303, Burlington, NC 27215 | 2006-11-13 |
| 1700963584 | Kelly Jean Brown | Psychologist | 529 Country Club Road, Brevard, NC 28712 | 2006-11-01 |
| 1174561559 | County of Guilford | Psychologist | 211 S Centennial St, High Point, NC 27260-5215 | 2006-06-04 |
| 1700443207 | Mark Sturgis Jr. | Psychologist | 172 Spring St Sw, Concord, NC 28025-5035 | 2019-05-21 |
| 1548769680 | Bowden Enterprise Services, LLC | Psychologist | 7341 Windy Ct W, Bailey, NC 27807-8953 | 2018-02-05 |
| 1417387796 | Itherapyrx | Psychologist | 115 Atwood St, Sparta, NC 28675-9299 | 2013-11-22 |
| 1912251695 | Access Family Servides, Inc. | Psychologist | 8396 Six Forks Rd, Raleigh, NC 27615-3058 | 2012-11-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.