PIEDMONT BEHAVIORAL RESOURCES, INC. (NPI# 1366699449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366699449 |
| Entity Type | Organization |
| Organization Name | PIEDMONT BEHAVIORAL RESOURCES, INC. |
| Practice Address |
201 W. Marion St. Ste. 207 Shelby NC 28150 |
| Practice Telephone | 7044876226 |
| Practice Fax Number | 7044876286 |
| Mailing Telephone | 7044876226 |
| Mailing Fax Number | 7044876286 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | TANZY BARROW WALLACE (CEO) |
| Authorized Official Telephone | 7044876226 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
229 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
MHL-023-148 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1135 | NC | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
366 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
5595 | NC | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-023-04 | NC | Residential Treatment Facilities |
| Y | 251C00000X | Day Training, Developmentally Disabled Services | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302555Q | 05 | |
| NC | 6006639 | 05 | |
| NC | 6604374 | 05 | |
| NC | 3418626 | 05 | |
| NC | 6603420 | 05 | |
| NC | 6604390 | 05 | |
| NC | 8302555 | 05 |
| Street Address |
201 W. MARION ST. STE. 207 |
| City | SHELBY |
| State | NC |
| Zip Code | 28150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255640165 | Renewed Services, Inc. | Day Training, Developmentally Disabled Services | 110 Twin Lake Dr, Shelby, NC 28152-0660 | 2010-09-27 |
| 1669513073 | Support Incorporated | Day Training, Developmentally Disabled Services | 1243 E Dixon Blvd Ste 4, Shelby, NC 28152-6893 | 2007-02-09 |
| 1942364864 | Life Enrichment Center of Cleveland County, Inc. | Day Training, Developmentally Disabled Services | 103 T R Harris Dr, Shelby, NC 28150-3486 | 2006-12-22 |
| 1932135332 | Harvestworks Inc. | Day Training, Developmentally Disabled Services | 891 N Post Rd, Shelby, NC 28150-4248 | 2006-06-25 |
| 1720357692 | All Care Links Inc. | Day Training, Developmentally Disabled Services | 211 N Lafayette St, Shelby, NC 28150-4447 | 2011-12-22 |
| 1912103532 | Life Enrichment Center | Day Training, Developmentally Disabled Services | 103 T R Harris Dr, Shelby, NC 28150-3486 | 2007-06-21 |
| 1407061195 | All Care Providers Inc | Day Training, Developmentally Disabled Services | 211 N Lafayette St, Shelby, NC 28150-4447 | 2007-05-14 |
| 1477692242 | Kingspointe Behavioral Healthcare Services, LLC | Day Training, Developmentally Disabled Services | 201 W Marion St, Suite 207, Shelby, NC 28150-5091 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
| 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.