INTEGRATED WELLNESS CENTER (NPI# 1750870408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750870408 |
| Entity Type | Organization |
| Organization Name | INTEGRATED WELLNESS CENTER |
| Practice Address |
2505 Court Dr Gastonia NC 28054-2140 |
| Mailing Address |
4530 Hubbard Falls Dr Charlotte NC 28269-2356 |
| Practice Telephone | 7048308060 |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | ANDREA GARRAWAY (CLINICIAN) |
| Authorized Official Telephone | 7048308060 |
| Authorized Official Credential | MA, LPC, LCASA C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 1154753101 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003352071 | Integrated Wellness Center | Chiropractor | 550 N Midlothian Rd, Suite 300, Mundelein, IL 60060-1613 | 2017-01-13 |
| Street Address |
2505 COURT DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588633929 | Gaston-lincoln-cleveland Mental Health Substance Abuse Dd | Clinic/Center | 2505 Court Dr, Gastonia, NC 28054-2140 | 2006-03-17 |
| 1861002966 | Quentin Aaron Powell | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2020-08-04 |
| 1487270708 | Aliceia Duff | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2020-06-23 |
| 1164057303 | Arlene Blake Govan | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2020-03-09 |
| 1356902886 | Ronald Peter Bellows | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2019-06-25 |
| 1649747809 | Brittany Foxx | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-10-25 |
| 1225505662 | Crystal Whitesides Kirkland | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-10-24 |
| 1699257741 | Angela Michelle Pope | Counselor | 2505 Court Dr, Gastonia, NC 28054-2140 | 2018-09-05 |
| 1326550260 | Tori Monique Carlton | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2017-11-01 |
| 1689197543 | Jamaal Dunn | Social Worker | 2505 Court Dr, Gastonia, NC 28054-2140 | 2017-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| 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 |
|---|---|---|---|---|
| 1821568759 | Grace Therapeutic Counseling Pllc | Community/Behavioral Health | 436 E Long Ave Ste 1, Gastonia, NC 28054-2543 | 2018-12-04 |
| 1306376660 | Foundations Education Academy LLC | Community/Behavioral Health | 1008 Union Rd Ste B, Gastonia, NC 28054-5590 | 2017-06-19 |
| 1972052728 | Round Table Coaching and Consulting | Community/Behavioral Health | 1554 Union Rd Ste 6c, Gastonia, NC 28054-5581 | 2016-09-21 |
| 1760939615 | The Groves Counseling Center | Community/Behavioral Health | 2005 Flint Ln, Gastonia, NC 28054-3334 | 2016-09-08 |
| 1376097162 | Zoe Counseling and Consulting Pllc | Community/Behavioral Health | 1550 Union Rd Ste A, Gastonia, NC 28054-5522 | 2016-08-09 |
| 1669825436 | Monarch In Albemarle | Community/Behavioral Health | 1252 Union Rd, D, Gastonia, NC 28054-0505 | 2016-07-18 |
| 1710355698 | Rha Health Services, Inc. | Community/Behavioral Health | 1564 Union Rd Ste A, Gastonia, NC 28054-5302 | 2015-09-09 |
| 1255746467 | Community Resource Solutions, LLC - Sc | Community/Behavioral Health | 1566 Union Rd Ste A, Gastonia, NC 28054-5301 | 2014-06-25 |
| 1013345586 | Monarch | Community/Behavioral Health | 680 Clyde St, Gastonia, NC 28052-7720 | 2013-10-21 |
| 1942559075 | Alternative Community Penalties Program, Inc. | Community/Behavioral Health | 410 W Franklin Blvd, Suite 20, Gastonia, NC 28052-2807 | 2012-09-05 |
| Find all providers in GASTONIA | ||||
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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.