GOOD KIDS THERAPEUTIC REOURCES (NPI# 1568789311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568789311 |
| Entity Type | Organization |
| Organization Name | GOOD KIDS THERAPEUTIC REOURCES |
| Practice Address |
201 E Pitt St Ste 207-208 (edgecombe Prof. Bldg) Tarboro NC 27886-5192 |
| Mailing Address |
Po Box 26 Williamston NC 27892-0026 |
| Practice Telephone | 9194913299 |
| Mailing Telephone | 2527922144 |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |
| Authorized Official Name | MRS. MARY WHITFIELD-WILLIAMS (CO-OWNER) |
| Authorized Official Telephone | 9194913299 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
201 E PITT ST STE 207-208 (EDGECOMBE PROF. BLDG) |
| City | TARBORO |
| State | NC |
| Zip Code | 27886-5192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720225014 | Prosource Therapeutics, LLC | Counselor | 201 E Pitt St, Tarboro, NC 27886-5192 | 2009-01-08 |
| 1720453228 | Sinclair Institute of Transformational Care LLC | Substance Abuse Rehabilitation Facility | 201 E Pitt St, Suite 201, Tarboro, NC 27886-5192 | 2015-12-09 |
| 1083989156 | New Life Community Services, LLC | Community/Behavioral Health | 201 E Pitt St, Suite 101, Tarboro, NC 27886-5192 | 2012-03-21 |
| 1427322742 | Serenity Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 201 E Pitt St, Suite 208-209, Tarboro, NC 27886-5192 | 2012-03-05 |
| 1982934501 | Life Enhancement Services | Case Management | 201 E Pitt St, Suite 102, Tarboro, NC 27886-5192 | 2010-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336781566 | Fountain Transportation | Non-emergency Medical Transport (VAN) | 350 William Walston Lane, Tarboro, NC 27886 | 2019-10-09 |
| 1942737481 | Jude Ude | Pharmacist | 1519 Man Street, Tarboro, NC 27886 | 2017-05-15 |
| 1487197406 | Fms Ena Home, LLC | Clinic/Center | 122 Hospital Drive, Tarboro, NC 27886 | 2016-11-22 |
| 1295191450 | Fountain Adult Home Care, LLC | Custodial Care Facility | 303 William Walston Lane, Tarboro, NC 27886 | 2016-01-04 |
| 1033464805 | Tiffany Chapman Barber | Pharmacist | 1519 N Main Street, Tarboro, NC 27886 | 2012-07-18 |
| 1891085247 | Illumi-nation Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7806 Hwy 42 East, Tarboro, NC 27886 | 2011-04-19 |
| 1376842187 | Hiren C Patel | Pharmacist | 1600 North Main St., Tarboro, NC 27886 | 2011-03-18 |
| 1407976590 | Edgecombe Chiropractic Inc | Chiropractor | 1801 Main Street, Tarboro, NC 27886 | 2007-03-30 |
| 1265567762 | Rinson A Weathers | Personal Emergency Response Attendant | 111 Hospital Drive, Tarboro, NC 27886 | 2007-02-23 |
| 1780758961 | George Thomas Ward | Dentist | 112 W St John Street, Tarboro, NC 27886 | 2006-11-20 |
| Find all providers in zip 27886 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063757904 | Key Point Behavioral Services, LLC | Community/Behavioral Health | 3226 Eugene James Rd, Tarboro, NC 27886-9486 | 2012-12-04 |
| 1487916003 | T.n.r.treatment Services, Inc. | Community/Behavioral Health | 2248a N Main St, Tarboro, NC 27886-2147 | 2012-06-10 |
| 1750676714 | Road To Recovery, LLC | Community/Behavioral Health | 1308 W Wilson St, Tarboro, NC 27886-4824 | 2011-06-17 |
| 1073817607 | Tarboro Psychosocial Rehabilitation | Community/Behavioral Health | 312 Saint Andrew St, Tarboro, NC 27886-5112 | 2010-12-22 |
| 1245543420 | Family & Community Resources, Inc | Community/Behavioral Health | 1915 N Main St, Tarboro, NC 27886-2527 | 2010-07-16 |
| 1538322433 | Comprehensive Behavior Health Services, LLC | Community/Behavioral Health | 2109 Saint Andrew St Suite-a, Tarboro, NC 27886-2149 | 2008-07-10 |
| 1447311766 | Homecare Management Corporation | Community/Behavioral Health | 1710 W Howard Ave, Tarboro, NC 27886-3409 | 2006-12-12 |
| 1235480807 | Reaching Your Goals | Community/Behavioral Health | 312 Saint Andrew St, Tarboro, NC 27886-5112 | 2012-09-24 |
| 1083989156 | New Life Community Services, LLC | Community/Behavioral Health | 201 E Pitt St, Suite 101, Tarboro, NC 27886-5192 | 2012-03-21 |
| 1588952022 | Robersonville Psychosocial Rehabilitation, LLC | Community/Behavioral Health | 312 Saint Andrew St, Tarboro, NC 27886-5112 | 2011-07-19 |
| Find all providers in TARBORO | ||||
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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.