BARIUM SPRINGS FREEDOM ACADEMY (NPI# 1043531445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043531445 |
| Entity Type | Organization |
| Organization Name | BARIUM SPRINGS FREEDOM ACADEMY |
| Practice Address |
2776 Yellow Banks Rd North Wilkesboro NC 28659-8861 |
| Mailing Address |
Po Box 1 Barium Springs NC 28010-0001 |
| Practice Telephone | 3366671121 |
| Practice Fax Number | 3366964183 |
| Mailing Telephone | 7048731011 |
| Mailing Fax Number | 7049247683 |
| Enumeration Date | 2010-06-20 |
| Last Update Date | 2010-06-20 |
| Authorized Official Name | MS. CELESTE I REED (VICE PRESIDENT) |
| Authorized Official Telephone | 7048802316 |
| Authorized Official Credential | MA CHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL 097 063 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | DHSR LICENSE | MHL 097 063 | 01 |
| Street Address |
2776 YELLOW BANKS RD |
| City | NORTH WILKESBORO |
| State | NC |
| Zip Code | 28659-8861 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013579689 | Lisa C Carr | Social Worker | 1400 Willow Ln # C61-2, North Wilkesboro, NC 28659 | 2019-07-03 |
| 1780141507 | Brenda Barber | Counselor | 200 Northview Plaza, North Wilkesboro, NC 28659 | 2019-02-28 |
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1033568258 | Rgm Al Holdings, LLC | Assisted Living Facility | 240 Independence Ave, North Wilkesboro, NC 28659 | 2016-06-08 |
| 1376997999 | Hayden Church | Driver | 29 Boone Trail, North Wilkesboro, NC 28659 | 2016-04-20 |
| 1033563192 | Nathan Grant Davis | Emergency Medicine | Wake Forest Baptist Health- Wilkes Medical Center, 1370 W D St, North Wilkesboro, NC 28659 | 2016-04-14 |
| 1720425408 | Lindsay Brooke Spears | Dentist | 1915 West Park Drive Ste 104, Wilkes Public Health Dental West, North Wilkesboro, NC 28659 | 2013-06-04 |
| 1881983419 | Pruitthealth Hospice, Inc. | Hospice Care, Community Based | 902 West D St, Ste B, North Wilkesboro, NC 28659 | 2011-04-05 |
| 1275838096 | Barium Springs Home for Children | Community Based Residential Treatment Facility, Mental Illness | 517 Boston Ave, North Wilkesboro, NC 28659 | 2011-01-26 |
| Find all providers in zip 28659 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639696941 | Lifespan Incorporated | Community/Behavioral Health | 2070 River Road, North Wilkesboro, NC 28659 | 2017-08-28 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1043631161 | Rha Health Services Nc, LLC | Community/Behavioral Health | 2551 Highway 268 East, North Wilkesboro, NC 28659-0000 | 2013-12-16 |
| 1538391727 | Direct Interventions Support Services LLC | Community/Behavioral Health | 211 Massachusettes Ave., North Wilkesboro, NC 28659 | 2009-08-20 |
| 1427186105 | Lawson Support Services, LLC | Community/Behavioral Health | 723 Main Street, North Wilkesboro, NC 28659-4211 | 2007-03-02 |
| 1821100942 | Life Alliance, LLC | Community/Behavioral Health | 907 Sparta Road, North Wilkesboro, NC 28659 | 2006-08-31 |
| 1891116919 | Rha Health Services Nc, LLC | Community/Behavioral Health | 113 Hackett St, North Wilkesboro, NC 28659-3266 | 2013-12-16 |
| 1255752374 | Rha Health Services Nc, LLC | Community/Behavioral Health | 77 Sparta Rd, North Wilkesboro, NC 28659-3133 | 2013-12-16 |
| 1952532590 | Lawson Support Services, LLC | Community/Behavioral Health | 723 Main Street, North Wilkesboro, NC 28659-4211 | 2009-07-30 |
| 1225270945 | Lawson Support Services | Community/Behavioral Health | 723 Main Street, North Wilkesboro, NC 28659-4211 | 2009-03-26 |
| Find all providers in NORTH WILKESBORO | ||||
| City | NORTH WILKESBORO |
| Zip Code | 28659 |
Please comment or provide details below to improve the information on BARIUM SPRINGS FREEDOM ACADEMY.
| 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.