RESOURCEFUL SOLUTIONS METHODONE CLINIC II (NPI# 1083978167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083978167 |
| Entity Type | Organization |
| Organization Name | RESOURCEFUL SOLUTIONS METHODONE CLINIC II |
| Practice Address |
5700 Executive Center Dr 105 Charlotte NC 28212-8858 |
| Mailing Address |
Po Box 43345 Charlotte NC 28215-0023 |
| Practice Telephone | 7045633336 |
| Practice Fax Number | 7045633356 |
| Mailing Telephone | 7045633336 |
| Mailing Fax Number | 7045633356 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |
| Authorized Official Name | MRS. STEPHANIE TYSON (DIRECTOR) |
| Authorized Official Telephone | 7045633336 |
| Is Organization Subpart | Y |
| Parent Organization Name | RESOURCEFUL SOLUTINS II |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
========= | NC | Ambulatory Health Care Facilities |
| Street Address |
5700 EXECUTIVE CENTER DR 105 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-8858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124064217 | Erin L Campbell | Occupational Therapist | 5700 Executive Center Dr, Suite 115, Charlotte, NC 28212-8858 | 2006-06-20 |
| 1366095556 | Cynthia Kandaya | Counselor | 5700 Executive Center Dr, Charlotte, NC 28212-8858 | 2019-07-17 |
| 1073083382 | Leeanne Forte | Social Worker | 5700 Executive Center Dr, Charlotte, NC 28212-8858 | 2018-11-29 |
| 1033658265 | Latarsha Ann Steele | Social Worker | 5700 Executive Center Dr, Ste 200, Charlotte, NC 28212-8858 | 2017-02-21 |
| 1932550662 | Jordan Elizabeth Rudolph | Counselor | 5700 Executive Center Dr, Charlotte, NC 28212-8858 | 2016-06-23 |
| 1356700561 | Desiree Matthews | Registered Nurse | 5700 Executive Center Dr, Suite 110, Charlotte, NC 28212-8858 | 2016-02-16 |
| 1376914598 | Barium Springs Home for Children | Community/Behavioral Health | 5700 Executive Center Dr, Ste 200, Charlotte, NC 28212-8858 | 2015-10-14 |
| 1639553852 | Matthew Benjamin Weisner | Social Worker | 5700 Executive Center Dr, Ste 200, Charlotte, NC 28212-8858 | 2015-07-17 |
| 1154727162 | Cornerstone Community Outreach | Community/Behavioral Health | 5700 Executive Center Dr, Suite 214, Charlotte, NC 28212-8858 | 2014-11-18 |
| 1952702011 | Barium Springs Home for Children | Social Worker | 5700 Executive Center Dr, Suite 200, Charlotte, NC 28212 | 2014-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 261QM2800X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Methadone Clinic |
| An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491273 | Alef High Point LLC | Clinic/Center | 919 Phillips Ave Ste 107, High Point, NC 27262-7076 | 2020-06-10 |
| 1861057747 | Independent Business Solutions | Clinic/Center | 110 Fallenwood Ave, Durham, NC 27713-7112 | 2019-05-06 |
| 1710470901 | Pieridae Treatment Centers LLC | Clinic/Center | 4806 Asheville Hwy, Hendersonville, NC 28791-9091 | 2018-06-12 |
| 1750821229 | Jacksonville Treatment Center | Clinic/Center | 1112 Silver Oaks Ct, Raleigh, NC 27614-9359 | 2017-03-03 |
| 1528202926 | Raleigh Methadone Treatment Center | Clinic/Center | 5109 Oak Park Rd, Raleigh, NC 27612-3063 | 2009-04-29 |
| 1104085984 | Crossroads Treatment Center, LLC | Clinic/Center | 6 Roberts Rd, Suite 103, Asheville, NC 28803-8613 | 2008-06-05 |
| 1295336386 | Cherokee Indian Hospital Authority | Clinic/Center | 149 Cherokee Hospital Loop, Cherokee, NC 28719 | 2020-11-04 |
| 1952896813 | Sanford Treatment Center, LLC | Clinic/Center | 2800 Industrial Dr, Sanford, NC 27332 | 2018-06-24 |
| 1528594041 | Rocky Mount Treatment Center LLC | Clinic/Center | 104 Zebulon Ct, Rocky Mount, NC 27804-2420 | 2017-05-03 |
| 1053851410 | Metro Treatment of North Carolina L P | Clinic/Center | 238 Wilmot Dr, Gastonia, NC 28054-4047 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
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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.