DIAGON THERAPUTIC LLC


Address: 413 W Main Ave, Suite 120, Gastonia, NC 28052-3896
Phone: 7048902192

DIAGON THERAPUTIC LLC (NPI# 1235485871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235485871
Entity Type Organization
Organization Name DIAGON THERAPUTIC LLC
Practice Address 413 W Main Ave
Suite 120
Gastonia
NC 28052-3896
Mailing Address 296 Sacco St
Belmont
NC 28012-3059
Practice Telephone 7048902192
Practice Fax Number 7049746213
Enumeration Date 2012-08-01
Last Update Date 2012-08-03
Authorized Official Name MR. TRACI SCOTT MORROW (THERAPIST)
Authorized Official Telephone 7048902192
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC 6115013 05

Office Location

Street Address 413 W MAIN AVE
SUITE 120
City GASTONIA
State NC
Zip Code 28052-3896

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NPI Name Taxonomy Address Enumeration
1053859488 Aa Plus Family Care Services, LLC Custodial Care Facility 190- B South Street, Gastonia, NC 28052 2017-02-06
1487028098 Stefanie Mann Counselor 165 West Franklin Blvd., Gastonia, NC 28052 2015-11-19
1659771343 Latisha Marsh Pharmacist 233 North Myrtle School, Gastonia, NC 28052 2014-08-29
1730598616 Erin Flitt Nurse Practitioner 425 North Marietta Street, Gastoni, NC 28052 2014-08-05
1568877199 Ebony Kyerra Kennedy Pharmacist 2206 West Franklin Blvd, Gastonia, NC 28052 2014-06-23
1821364209 Harcharan Singh Ophthalmology 111 E.third Avenue, Gaston Family Medical Center, Gastonia, NC 28052 2012-03-29
1437475365 Evelyn B Mcgill Counselor 102 N Yates Street, Gastonia, NC 28052 2010-04-16
1568696680 Fafli Inc Community/Behavioral Health 175 W. Main Avenue, Gaston County, NC 28052 2009-05-04
1558570630 Peggy May Currie Physical Therapist 710 Marietta St., Suite B, Gastonia, NC 28052 2007-05-22
1275753352 John Theodore Fox Dentist 601 S York St, Gastonia, NC 28052 2007-04-30
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821568759 Grace Therapeutic Counseling Pllc Community/Behavioral Health 436 E Long Ave Ste 1, Gastonia, NC 28054-2543 2018-12-04
1306376660 Foundations Education Academy LLC Community/Behavioral Health 1008 Union Rd Ste B, Gastonia, NC 28054-5590 2017-06-19
1972052728 Round Table Coaching and Consulting Community/Behavioral Health 1554 Union Rd Ste 6c, Gastonia, NC 28054-5581 2016-09-21
1760939615 The Groves Counseling Center Community/Behavioral Health 2005 Flint Ln, Gastonia, NC 28054-3334 2016-09-08
1376097162 Zoe Counseling and Consulting Pllc Community/Behavioral Health 1550 Union Rd Ste A, Gastonia, NC 28054-5522 2016-08-09
1669825436 Monarch In Albemarle Community/Behavioral Health 1252 Union Rd, D, Gastonia, NC 28054-0505 2016-07-18
1710355698 Rha Health Services, Inc. Community/Behavioral Health 1564 Union Rd Ste A, Gastonia, NC 28054-5302 2015-09-09
1255746467 Community Resource Solutions, LLC - Sc Community/Behavioral Health 1566 Union Rd Ste A, Gastonia, NC 28054-5301 2014-06-25
1013345586 Monarch Community/Behavioral Health 680 Clyde St, Gastonia, NC 28052-7720 2013-10-21
1942559075 Alternative Community Penalties Program, Inc. Community/Behavioral Health 410 W Franklin Blvd, Suite 20, Gastonia, NC 28052-2807 2012-09-05
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Competitor

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City GASTONIA
Zip Code 28052

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Dataset Information

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.

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