SUPPORTED LIVING YOUTH, FAMILY & CHILDREN SERVICES, INC. (NPI# 1235272717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235272717 |
| Entity Type | Organization |
| Organization Name | SUPPORTED LIVING YOUTH, FAMILY & CHILDREN SERVICES, INC. |
| Practice Address |
717 White Oaks Circle Monroe NC 28112-7014 |
| Mailing Address |
Po Box 3398 Monroe NC 28111-3398 |
| Practice Telephone | 7042836002 |
| Practice Fax Number | 7042251582 |
| Mailing Telephone | 7042836002 |
| Mailing Fax Number | 7042251582 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-09-03 |
| Authorized Official Name | KIRK ANTHONY HILLIAN (DIRECTOR) |
| Authorized Official Telephone | 7042836002 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | MHL090141 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603459 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942343413 | Supported Living Youth, Family & Children Services, Inc. | Counselor | 5604 Valley Field Road, Hickory, NC 28602-5424 | 2007-02-15 |
| Street Address |
717 WHITE OAKS CIRCLE |
| City | MONROE |
| State | NC |
| Zip Code | 28112-7014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000620 | Paladina Health, LLC | Family Medicine | Paladina Health Monroe Campus Park, 1640 A Campus Park Drive, Monroe, NC 28112 | 2019-02-22 |
| 1073078408 | Sharelle Monique Hatley | Social Worker | 501 North Charlotte Ave, Suite C-214, Monroe, NC 28112 | 2019-02-11 |
| 1740762509 | Fox Counseling and Consulting, Pllc | Social Worker | 311 W Jefferson Street, Monroe, NC 28112 | 2018-08-29 |
| 1760976062 | Kinena J Dent-smith | Community/Behavioral Health | 207 Raymond St, Monroe, NC 28112 | 2018-06-20 |
| 1093225468 | Healthstat Onsite Clinic Parkdale Plant 21 | Preventive Medicine | 5005 Waxhaw Highway 75, Monroe, NC 28112 | 2017-10-11 |
| 1871026567 | H.o.p.e. Advancement, Inc. | Counselor | 349 Venus Street, Monroe, NC 28112 | 2017-04-10 |
| 1508304650 | Monroe Dental Clinic General Partnership | Dentist | 102 E Windsor Street, Monroe, NC 28112 | 2017-02-09 |
| 1073062865 | Garahetta Robin Sell | Massage Therapist | 600 West End Drive, Monroe, NC 28112 | 2016-09-22 |
| 1700280765 | Katherine Hartness | Massage Therapist | 205 N. Hayne St., Monroe, NC 28112 | 2014-10-20 |
| 1346655586 | Gaurav Chand | Internal Medicine | 1663 Campus Park Dr., Suite D, Monroe, NC 28112 | 2014-06-26 |
| Find all providers in zip 28112 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538781638 | John R Webb | Counselor | 2013 Spencer Ave, Monroe, LA 71201-2719 | 2020-05-12 |
| 1205474178 | Lotus Counseling & Consulting LLC | Counselor | 2439 5th St, Monroe, WI 53566-1504 | 2019-12-11 |
| 1851949879 | Mark Edward Hersh | Counselor | 220 Fernhead Ave, Monroe, NJ 08831-8736 | 2019-09-03 |
| 1184103749 | Lauren Allender | Counselor | 4 Whitetail Dr, Monroe, CT 06468-1485 | 2018-08-14 |
| 1518452820 | Kakietha Keys | Counselor | 154 Preston Loop, Monroe, LA 71202-6912 | 2018-06-28 |
| 1356830541 | David Whitney Bass | Counselor | 622 Riverside Drive, Monroe, La. 71203, Monroe, LA 71203 | 2018-05-03 |
| 1366956435 | Paulette Roberts | Counselor | 1800 Stubbs Ave, Monroe, LA 71201 | 2017-11-27 |
| 1073025318 | Gp Consulting, LLC | Counselor | 300 Washington St Ste 100d, Monroe, LA 71201-6751 | 2017-10-26 |
| 1588180103 | Barbara Verran | Counselor | 824 S Monroe St, Monroe, MI 48161-1432 | 2017-08-15 |
| 1588184816 | Janice Price | Counselor | 2017 Hudson Lane, Monroe, LA 71201 | 2017-06-27 |
| Find all providers in MONROE | ||||
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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.