PERSONALIZED THERAPY, INC. (NPI# 1699078311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699078311 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED THERAPY, INC. |
| Practice Address |
2317 Executive Cir Ste B Greenville NC 27834-3762 |
| Practice Telephone | 2523534968 |
| Practice Fax Number | 2523534967 |
| Mailing Telephone | 2523534968 |
| Mailing Fax Number | 2523534967 |
| Enumeration Date | 2010-12-20 |
| Last Update Date | 2010-12-20 |
| Authorized Official Name | KIM MCINTYRE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2523534968 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316125545 | Personalized Therapy, Inc. | Community/Behavioral Health | 1226 Mann Dr, Suite 100, Matthews, NC 28105-5532 | 2008-02-11 |
| 1902028228 | Personalized Therapy, Inc. | Community/Behavioral Health | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2007-05-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PERSONALIZED THERAPY, INC. | 4875 Mills Civic Parkway, West Des Moines, IA 50265 |
| Street Address |
2317 EXECUTIVE CIR STE B |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750328910 | Wanda Lynn Lancaster | Nurse Practitioner | 2317 Executive Cir Ste B, Executive Park West, Greenville, NC 27834-3762 | 2006-05-31 |
| 1093239113 | Trevor Dion Elfe Blue | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2017-07-31 |
| 1609323047 | Shannon Chamblee | Counselor | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2016-09-01 |
| 1700290954 | Tameika Gay | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2014-06-16 |
| 1073858478 | Courtney Steffenhagen | Marriage & Family Therapist | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-12-11 |
| 1730440439 | Anissa Johnson | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-05-30 |
| 1184984791 | Lynette Arlene Weaver | Counselor | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-05-17 |
| 1578840914 | Karma Davis Warren | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2011-11-14 |
| 1700095684 | Maria Ann Saporito | Marriage & Family Therapist | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2007-05-21 |
| 1902028228 | Personalized Therapy, Inc. | Community/Behavioral Health | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| 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 |
|---|---|---|---|---|
| 1467051615 | Tranquility Now | Community/Behavioral Health | 123 Sw Odessa Ter, Greenville, FL 32331-3414 | 2020-10-20 |
| 1114549532 | Uniquely Me LLC | Community/Behavioral Health | 2409 Charles Blvd, Greenville, NC 27858-5925 | 2020-05-07 |
| 1043841406 | Gibbs Treatment Solutions | Community/Behavioral Health | 8757 Rufing Rd, Greenville, IN 47124-9649 | 2020-02-03 |
| 1558911677 | Positive Innergy Medical Group | Community/Behavioral Health | 26 Potomac Ave, Greenville, SC 29605-2118 | 2019-09-19 |
| 1831651850 | Nick Comai, LLC | Community/Behavioral Health | 1202 Tamarack Ct, Greenville, MI 48838-2597 | 2019-04-01 |
| 1285111906 | Cornerstone Senior Care and Assisted Living,llc | Community/Behavioral Health | 3900 Joe Ramsey Blvd E Bldg 10a, Greenville, TX 75401-7727 | 2018-07-25 |
| 1295234565 | Krystle Shields | Community/Behavioral Health | 3116 Noah Ct, Greenville, NC 27834-6239 | 2018-02-01 |
| 1639697642 | Stigma Inc. | Community/Behavioral Health | 815 E Butler Rd Apt 228, Greenville, SC 29607-5870 | 2017-08-30 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| 1821514266 | Idella Care Homes | Community/Behavioral Health | 870 Spring Forest Rd, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.