THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC (NPI# 1770619686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770619686 |
| Entity Type | Organization |
| Organization Name | THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC |
| Other Organization Name | YADKIN VALLEY CLUB HOUSE |
| Practice Address |
748 N State St Yadkinville NC 27055-5253 |
| Mailing Address |
1331 Sunday Dr Raleigh NC 27607 |
| Practice Telephone | 3368497451 |
| Mailing Telephone | 9199810740 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KEVIN L COCHRAN (FINANCIAL ASSISTANT) |
| Authorized Official Telephone | 9199810740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL-099-018 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301450S | 05 |
| Other Name | Type Code |
|---|---|
| Yadkin Valley Club House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457591588 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 270 Mcarthur Dr Apt A, Rockingham, NC 28379-4379 | 2009-03-03 |
| 1467617225 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 89 Ashlyn Dr, Concord, NC 28025-3546 | 2008-07-22 |
| 1922273960 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 409 Ebon Rd, Durham, NC 27713-1621 | 2008-04-29 |
| 1114192259 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 1524 Southwood Dr, Durham, NC 27707-2114 | 2008-04-29 |
| 1073736013 | The Mental Health Association In North Carolina, Inc | Community Based Residential Treatment Facility, Mental Illness | 400 W. Eigth St, Raeford, NC 28376 | 2007-04-10 |
| 1821119090 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 233 Montgomery Ave Ste 2, Albemarle, NC 28001-4041 | 2007-04-03 |
| 1366576290 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 189 E Chestnut St, Asheville, NC 28801-2330 | 2007-03-15 |
| 1295869980 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 233 French Broad Street, Asheville, NC 28801-3901 | 2007-03-15 |
| 1780717389 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 14 S 16th St, Wilmington, NC 28401-4924 | 2007-03-13 |
| 1003949611 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 514 E 21st St, Lumberton, NC 28358-3962 | 2007-03-13 |
| Street Address |
748 N STATE ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-5253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639204969 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 748 N State St, Yadkinville, NC 27055-5253 | 2007-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1548651128 | Express Care of Yadkin LLC | Nurse Practitioner | 755 South State Street, Yadkinville, NC 27055 | 2015-02-18 |
| 1437579331 | Sarah Noe | Nurse Practitioner | 129 W Main Street, Yadkinville, NC 27055 | 2014-04-18 |
| 1306284674 | Legacy | Nursing Facility/Intermediate Care Facility | 903 W Main Street, Yadkinville, NC 27055 | 2013-06-10 |
| 1730433731 | Healthstat- Unifi Yadkinville Plant 5 | Preventive Medicine | 1032 Unifi Industrial Rd., Yadkinville, NC 27055 | 2012-10-30 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1316152143 | Yadkin County Council On Aging, Inc. | Health Maintenance Organization | 108 E Elm Steet, Yadkinville, NC 27055 | 2007-05-14 |
| 1063633741 | Susan L Sawyers | Counselor | Hoots Memorial Hospital, 624 W. Main Street, Yadkinville, NC 27055 | 2007-05-01 |
| 1912026576 | Yadkin County Dss | Case Management | 205 E. Main St, Yadkinville, NC 27055 | 2007-03-28 |
| 1992824429 | Health Services Unlimited Inc. | Home Health | 105 S Jackson St, Yadkinville, NC 27055 | 2007-03-28 |
| Find all providers in zip 27055 | ||||
| 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 |
|---|---|---|---|---|
| 1972011484 | Children's Center of Surry, Inc. | Community/Behavioral Health | 117 S Jackson St, Yadkinville, NC 27055 | 2018-01-18 |
| 1891012126 | The Center-a Strategic Interventions Facility | Community/Behavioral Health | 1012 Glenway Dr, Yadkinville, NC 27055 | 2010-04-27 |
| 1841515640 | Strategic Interventions, LLC | Community/Behavioral Health | 403 E Main St, Yadkinville, NC 27055 | 2010-04-05 |
| 1114197993 | New River Service Authority | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2008-03-07 |
| 1891989752 | H. Diane Jenkins, LLC | Community/Behavioral Health | 110 W Elm St, Yadkinville, NC 27055-3313 | 2007-09-04 |
| 1497875603 | Partnership for A Drug Free Nc, Inc. | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-30 |
| 1306966510 | Partnership for A Drug Free Nc, Inc. | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-30 |
| 1942320403 | Partnership for A Drug Free Nc, Inc. | Community/Behavioral Health | 320 E Lee Ave, Yadkinville, NC 27055-8132 | 2007-03-29 |
| 1184740987 | Barium Springs Home for Children | Community/Behavioral Health | 733 E Main St, Yadkin Success Academy, Yadkinville, NC 27055-8137 | 2007-03-22 |
| 1639204969 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 748 N State St, Yadkinville, NC 27055-5253 | 2007-02-23 |
| Find all providers in YADKINVILLE | ||||
| City | YADKINVILLE |
| Zip Code | 27055 |
Please comment or provide details below to improve the information on THE MENTAL HEALTH ASSOCIATION IN NORTH CAROLINA, INC.
| 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.