CHEMICAL DEPENDENCY SERVICES, INC (NPI# 1306062856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306062856 |
| Entity Type | Organization |
| Organization Name | CHEMICAL DEPENDENCY SERVICES, INC |
| Other Organization Name | CHEMICAL DEPENDENCY & COURT SERVICES |
| Practice Address |
308 W. Windsor Street Monroe NC 28112-4779 |
| Practice Telephone | 7042894887 |
| Practice Fax Number | 7042895188 |
| Mailing Telephone | 7042894887 |
| Mailing Fax Number | 7042895188 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2009-02-05 |
| Authorized Official Name | MR. WALTER LYNDON BECK III (DIRECTOR) |
| Authorized Official Telephone | 7042894877 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MHL-090-058 | NC | Ambulatory Health Care Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
MHL-090-162 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | FACILITY ID | 050089 | 01 |
| NC | LICENSE NUMBER | MHL-090-058 | 01 |
| NC | DWI PROVIDER | 50315 | 01 |
| Other Name | Type Code |
|---|---|
| Chemical Dependency & Court Services | Other Name - Individual/Organization |
| Street Address |
308 W. WINDSOR STREET |
| City | MONROE |
| State | NC |
| Zip Code | 28112-4779 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386283034 | Mainstreet Counseling | Clinic/Center | 1717 11th St, Monroe, WI 53566-1839 | 2019-12-29 |
| 1093357113 | Wellness Initiatives LLC | Clinic/Center | 2485 Tower Dr Ste 10, Monroe, LA 71201-5769 | 2019-10-09 |
| 1942670336 | Milestone Recovery LLC | Clinic/Center | 2001 Walnut Ln, Monroe, NC 28112-7333 | 2015-09-29 |
| 1295176964 | Firm Foundations Family Counseling, LLC | Clinic/Center | 2101 Forsythe Ave, Monroe, LA 71201-3642 | 2013-07-10 |
| 1679877534 | Adamu Salisu, Md Pllc | Clinic/Center | 200 E Jefferson St, Monroe, NC 28112-4863 | 2011-01-06 |
| 1124356910 | Southern Center for Children and Families, Inc. | Clinic/Center | 622 Riverside Dr, Monroe, LA 71201-6211 | 2009-12-07 |
| 1790975068 | The Health and Wellness Center | Clinic/Center | 1106 Stubbs Ave, Stuite B, Monroe, LA 71201-5620 | 2007-08-01 |
| 1689864209 | Sitara Medical Inc Ps | Clinic/Center | 14841 179th Ave Se Ste 210, Monroe, WA 98272-1127 | 2007-07-30 |
| 1669689634 | Riversouth Rehabilitation Center,inc. | Clinic/Center | 1010 N 9th St, Monroe, LA 71201-5513 | 2007-05-17 |
| 1467526798 | Advantage Bhs | Clinic/Center | 834 Hwy 11 South, Monroe, GA 30655 | 2006-11-20 |
| Find all providers in MONROE | ||||
Please comment or provide details below to improve the information on CHEMICAL DEPENDENCY SERVICES, INC.
| 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.