BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC (NPI# 1760661961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760661961 |
| Entity Type | Organization |
| Organization Name | BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC |
| Practice Address |
1165 Gregory Dr Roanoke Rapids NC 27870-6442 |
| Mailing Address |
Po Box 86 Roanoke Rapids NC 27870-0086 |
| Practice Telephone | 2525377575 |
| Practice Fax Number | 2525379008 |
| Mailing Telephone | 2525377575 |
| Mailing Fax Number | 2525379008 |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2007-10-24 |
| Authorized Official Name | MRS. EVELYN S. DAWSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2525377575 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301698Q | 05 | |
| NC | 8301698P | 05 | |
| NC | 8301698 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861700502 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-09-15 |
| 1699080770 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-08-12 |
| 1275854895 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-06-17 |
| 1992939573 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-05-11 |
| 1851534325 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-04-14 |
| 1720234131 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2008-08-18 |
| 1558557991 | Britesmilz Family & Community Connections, LLC | Marriage & Family Therapist | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-09-19 |
| 1982723177 | Britesmilz Family & Community Connections, LLC | Counselor | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-03-28 |
| 1245359439 | Britesmilz Family & Community Connections, LLC | Case Manager/Care Coordinator | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-03-28 |
| Street Address |
1165 GREGORY DR |
| City | ROANOKE RAPIDS |
| State | NC |
| Zip Code | 27870-6442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427159078 | Brite Smilz Family & Community Connections LLC | Clinic/Center | 1165 Gregory Dr, Roanoke Rapids, NC 27870 | 2006-09-26 |
| 1386090983 | Homecare Management Corporation | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2016-05-12 |
| 1861700502 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-09-15 |
| 1699080770 | Britesmilz Family & Community Connections, LLC | Community/Behavioral Health | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-08-12 |
| 1275854895 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-06-17 |
| 1851611727 | Britesmilz Family & Cmmunity Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2010-06-02 |
| 1992939573 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-05-11 |
| 1851534325 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2009-04-14 |
| 1720234131 | Britesmilz Family & Community Connections, LLC | Case Management | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2008-08-18 |
| 1376739714 | Britesmilz Family & Community Connections | Counselor | 1165 Gregory Dr, Roanoke Rapids, NC 27870-6442 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831721596 | Holt Assessment Services, LLC | Community/Behavioral Health | 622 Unit C Roanoke Avenue, Roanoke Rapids, NC 27870 | 2020-02-10 |
| 1053951244 | Wl Transportation LLC | Non-emergency Medical Transport (VAN) | 557 Litte Deep Creek Road, Roanoke Rapids, NC 27870 | 2020-01-15 |
| 1740748474 | Alexis S Gomez | Physician Assistant | 257 Nc-125, Roanoke Rapids, NC 27870 | 2019-03-12 |
| 1255874418 | Diane Shaw | Technician | 1015 Roanoke Avenue Suite A, Roanoke Rapids, NC 27870 | 2016-11-21 |
| 1568818912 | Adrianne Teague | Counselor | 60 N Highway 125, Roanoke Rapids, NC 27870 | 2016-05-04 |
| 1831552322 | Emergeortho, Pa | Durable Medical Equipment & Medical Supplies | 171 Nc Higway 125, Roanoke Rapids, NC 27870 | 2016-04-01 |
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1811354905 | Michael D Turner | Physical Therapy Assistant | 171 Nc Highway 25, Roanoke Rapids, NC 27870 | 2016-01-21 |
| 1215323274 | D'vine Intervention Counseling Center | Community/Behavioral Health | 2424 Oak Street, Portsmouth, VA 27870 | 2015-04-07 |
| 1720408222 | Chastity Kinsler | Counselor | 60 North Highway 125, Roanoke Rapids, NC 27870 | 2014-04-23 |
| Find all providers in zip 27870 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710347885 | Golden Gate Human Services and Transportation | Counselor | 1028 Roanoke Avenue, Roanoke Rapids, NC 27870 | 2016-03-02 |
| 1134515778 | Arthur Elliott Payne | Counselor | 608 Jackson St Ste 108, Roanoke Rapids, NC 27870-2600 | 2015-04-10 |
| 1336480961 | Shelia Holt | Counselor | 931 Davis Memorial Rd, Roanoke Rapids, NC 27870-9051 | 2013-03-06 |
| 1669774824 | Edwards Assessments and Counseling, Inc. | Counselor | 321 Nc Highway 125, Roanoke Rapids, NC 27870-6445 | 2010-11-21 |
| 1861418584 | Barbara Anne Clanton-edmonds | Counselor | 60 Nc Highway 125, Triumph LLC, Roanoke Rapids, NC 27870-6304 | 2006-07-14 |
| 1215546841 | Michelle Kelli Laster | Counselor | 608 Jackson St Ste 108, Roanoke Rapids, NC 27870-2600 | 2020-07-29 |
| 1467079764 | Joy Rutledge | Counselor | 608 Jackson St Ste 108, Roanoke Rapids, NC 27870-2600 | 2020-07-02 |
| 1336765262 | Valley Youth Substance Abuse Center | Counselor | 1445 Georgia Ave, Roanoke Rapids, NC 27870-4653 | 2020-06-16 |
| 1013537133 | Shinah Best | Counselor | 1445 Georgia Ave, Roanoke Rapids, NC 27870-4653 | 2020-04-18 |
| 1780212308 | De'mone' Camil Jordan | Counselor | 1381 Medical Center Dr, Roanoke Rapids, NC 27870-5130 | 2020-03-30 |
| Find all providers in ROANOKE RAPIDS | ||||
| City | ROANOKE RAPIDS |
| Zip Code | 27870 |
Please comment or provide details below to improve the information on BRITESMILZ FAMILY & COMMUNITY CONNECTIONS, LLC.
| 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.