THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. (NPI# 1467672881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467672881 |
| Entity Type | Organization |
| Organization Name | THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC. |
| Other Organization Name | WILLOW BROOK |
| Practice Address |
213 Broad St Apt D Mount Airy NC 27030-4688 |
| Mailing Address |
1331 Sunday Dr Raleigh NC 27607-5166 |
| Practice Telephone | 3367869736 |
| Mailing Telephone | 9198663287 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN COCHRAN (FINANCIAL ASSISTANT) |
| Authorized Official Telephone | 9198663287 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Willow Brook | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336388131 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 411 West Burkhead St, Whiteville, NC 28472-3103 | 2009-02-18 |
| 1215105382 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 219 N Foushee St, Roxboro, NC 27573-5314 | 2008-02-12 |
| 1295936417 | The Mental Health Association In North Carolina, Inc. | Community/Behavioral Health | 1331 Sunday Dr, Raleigh, NC 27607-5166 | 2007-05-29 |
| 1174743082 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 101 Hannah Ln, Rocky Mount, NC 27803-4268 | 2007-04-26 |
| 1730309154 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 303 N Church St, Lexington, NC 27292-4156 | 2007-04-26 |
| 1558581975 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 425 Pee Dee Ave, Albemarle, NC 28001-4910 | 2007-04-26 |
| 1083834402 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1615 Fikewood St E, Wilson, NC 27893-5586 | 2007-04-26 |
| 1023238706 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 206 Lenoir St Ste O, Morganton, NC 28655-3124 | 2007-04-26 |
| 1053531806 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 317 Franklin Ave Nw, Concord, NC 28025-4909 | 2007-04-26 |
| 1649490061 | The Mental Health Association In North Carolina, Inc. | Community Based Residential Treatment Facility, Mental Illness | 46 Pinewood Rd Apt B, Roanoke Rapids, NC 27870-6305 | 2007-04-26 |
| Street Address |
213 BROAD ST APT D |
| City | MOUNT AIRY |
| State | NC |
| Zip Code | 27030-4688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124475017 | Jeffrey Lynn Hunter | Podiatrist | 367 S Andy Griffith Pkwy # 200, Mount Airy, NC 27030 | 2016-05-20 |
| 1376984880 | Shari York | Counselor | 847 Westlake Dr, Mount Airy, NC 27030 | 2013-07-12 |
| 1861745069 | Surry-yadkin Residential Services, Inc | Intermediate Care Facility, Mentally Retarded | 1305 Park Dr, Mount Airy, NC 27030 | 2012-10-25 |
| 1346592169 | Debra Lynn Campbell | Physician Assistant | 709 West Independence Blvd., Mount Airy, NC 27030 | 2012-10-03 |
| 1720217680 | Lena Anderson Ferris | Nurse Practitioner | 708 S South St Ste 400, Mount Airy, NC 27030 | 2009-07-13 |
| 1013104520 | Tong Li-masters | Internal Medicine | 830 Rockford Street, Winston Salem, NC 27030 | 2007-09-28 |
| 1336261528 | Thomas R Jackson Dds Pa | Dentist | 1007 Rockford Street, Mount Airy, NC 27030 | 2007-04-06 |
| 1467585422 | Ridgecrest Ritirement Community | Assisted Living Facility | Ridgecrest Retirement, LLC, 1000 Ridgecrest Ln., Mount Airy, NC 27030 | 2007-03-13 |
| 1568516755 | Lou Urmos | Family Medicine | 805 Merita Street, Mt Airy, NC 27030 | 2007-01-23 |
| 1568516391 | Mark Lee Appler | Internal Medicine | 708 S South St Ste 100, Mount Airy, NC 27030 | 2007-01-22 |
| Find all providers in zip 27030 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1245837061 | Bliss Haven Group LLC | Community Based Residential Treatment Facility, Mental Illness | 2442 Sandhurst Ct, Gastonia, NC 28054-2738 | 2020-10-05 |
| 1386259265 | Nevaehs Caring Hands | Community Based Residential Treatment Facility, Mental Illness | 2509 Dalton Rd, Rocky Mount, NC 27803-4721 | 2020-09-09 |
| 1588279442 | C & C Homecare, LLC | Community Based Residential Treatment Facility, Mental Illness | 5119 Holdens Cross Rd, Wilson, NC 27893-8253 | 2020-09-08 |
| 1801409859 | Destiny & Miracle LLC | Community Based Residential Treatment Facility, Mental Illness | 1024 Houston St, Gastonia, NC 28052-1632 | 2020-08-28 |
| 1699329433 | Fresh Start Today Inc | Community Based Residential Treatment Facility, Mental Illness | 3707 Roseheim Ct, Greensboro, NC 27405-4867 | 2019-07-30 |
| 1003460833 | Care-in-full | Community Based Residential Treatment Facility, Mental Illness | 1338 Sharp Ridge Rd, Greensboro, NC 27406-8597 | 2019-07-30 |
| 1366001976 | Foundation of Hope, Inc. | Community Based Residential Treatment Facility, Mental Illness | 119 Grice Road, Chadbourn, NC 28431-6709 | 2019-06-07 |
| 1558927590 | Tall Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1915 Hasty Rd, Marshville, NC 28103-0029 | 2019-05-15 |
| 1174187868 | Stepping Stone Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 2720 White Oak Ln, Kannapolis, NC 28083-7256 | 2019-04-28 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT AIRY |
| Zip Code | 27030 |
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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.