LOVING RECONNECTIONS BEHAVIORAL HEALTH PA (NPI# 1053861641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053861641 |
| Entity Type | Organization |
| Organization Name | LOVING RECONNECTIONS BEHAVIORAL HEALTH PA |
| Practice Address |
110 Hepler St Suite B Kernersville NC 27284-2791 |
| Practice Telephone | 3364975701 |
| Mailing Telephone | 3364975701 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2017-01-23 |
| Authorized Official Name | MR. JOHN VINCENT GOVERNALE (PRACTICE MANAGER / VICE PRESIDENT) |
| Authorized Official Telephone | 3364975701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | C010334 | NC | Agencies |
| Street Address |
110 HEPLER ST SUITE B |
| City | KERNERSVILLE |
| State | NC |
| Zip Code | 27284-2791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549047 | Katie Lee Sherman | Student in an Organized Health Care Education/Training Program | 9372 Pumpkin Ridge Rd, Kernersville, NC 27284 | 2020-02-07 |
| 1861049231 | Bethany Medical Center | Internal Medicine | 975 Hwy 66 S, Kernersville, NC 27284 | 2019-08-21 |
| 1114490810 | Lindsey Sarvis | Social Worker | 2301 Lake Shore Reserve Court, Kernersville, NC 27284 | 2019-01-04 |
| 1073091088 | Gastroenterology Associates of The Piedmont, P.a. | Internal Medicine | 445 Pineview Dr Ste 200b, Kernersville, NC 27284 | 2018-08-01 |
| 1942786629 | Brea Anjanee' Washington | Nurse Practitioner | 1635 Nc 66 South, Suite 145, Kernersville, NC 27284 | 2018-07-16 |
| 1992216246 | Charley Elizabeth Cummings | Physician Assistant | 1635 Nc-66, Kernersville, NC 27284 | 2017-10-13 |
| 1902324304 | Susan Marie Garcia | Counselor | 822 Old Winston Road, Suite 5, Kernersville, NC 27284 | 2017-09-06 |
| 1871034603 | Ljp Lab LLC | Clinical Medical Laboratory | 495 Arbor Hill Rd Ste S, Kernersville, NC 27284 | 2017-03-13 |
| 1912446253 | Knew Era Consulting | Counselor | 335 Creekview Drive, Kernersville, NC 27284 | 2017-02-20 |
| 1144686593 | Amber Moore | Counselor | 822 Old Winston Rd, Suite 5, Kernersville, NC 27284 | 2016-01-14 |
| Find all providers in zip 27284 | ||||
| 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 |
|---|---|---|---|---|
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1669836136 | Kernersville Counseling Center Pllc | Community/Behavioral Health | 301 E Mountain St, Kernersville, NC 27284-3093 | 2016-04-11 |
| 1083917884 | Youth Opportunities | Community/Behavioral Health | 810 Bagley Road, Kernersville, NC 27284-9897 | 2010-12-16 |
| 1356584023 | Dynasty Diverse Services, LLC | Community/Behavioral Health | 211 Julian Pond Ln, Kernersville, NC 27284-2461 | 2009-04-10 |
| 1255501649 | Vision Behavioral Health Services,llc | Community/Behavioral Health | 495 Arbor Hill Rd, Suite E, Kernersville, NC 27284-3374 | 2008-03-03 |
| 1902006992 | Vision Behavioral Health Services, LLC | Community/Behavioral Health | 495 Arbor Hill Rd Ste E, Kernersville, NC 27284-3335 | 2007-07-19 |
| 1558496810 | Rha Health Services Inc | Community/Behavioral Health | 1107 E Mountain St, Kernersville, NC 27284-7904 | 2007-02-23 |
| 1083705032 | Springwell Network, Inc. | Community/Behavioral Health | 460 Raven Ridge Rd, Kernersville, NC 27284-8046 | 2006-09-27 |
| 1144885278 | Gray Sappenfield Moulton | Community/Behavioral Health | 118 S Cherry St Ste D, Kernersville, NC 27284-2764 | 2019-05-03 |
| 1922417088 | Heartstrings Pregnancy and Infant Loss Support, Inc. | Community/Behavioral Health | 233 W Mountain St, Kernersville, NC 27284-2529 | 2014-08-03 |
| Find all providers in KERNERSVILLE | ||||
| City | KERNERSVILLE |
| Zip Code | 27284 |
Please comment or provide details below to improve the information on LOVING RECONNECTIONS BEHAVIORAL HEALTH PA.
| 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.