MOUNTAIN YOUTH RESOURCES, INC. (NPI# 1801840905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801840905 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN YOUTH RESOURCES, INC. |
| Practice Address |
151 Desoto Trail Sylva NC 28779 |
| Mailing Address |
Po Box 99 Webster NC 28788-0099 |
| Practice Telephone | 8285868958 |
| Practice Fax Number | 8285860649 |
| Mailing Telephone | 8285868958 |
| Mailing Fax Number | 8285860649 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MATTHEW KIRKLAND (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 8285868958 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300610 | 05 | |
| NC | 8300610B | 05 | |
| NC | 6005341 | 05 | |
| NC | 8301101Q | 05 | |
| NC | BCBSNC PROVIDER NUMBER | 017P2 | 01 |
| NC | 8301101 | 05 | |
| NC | 8300610G | 05 | |
| NC | 8300610H | 05 |
| Street Address |
151 DESOTO TRAIL |
| City | SYLVA |
| State | NC |
| Zip Code | 28779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134469125 | Glen Edward Cassle | Counselor | 151 Desoto Trail, Sylva, NC 28779-6308 | 2013-02-27 |
| 1033401666 | Barium Springs Home for Children | Counselor | 151 Desoto Trail, Sylva, NC 28779 | 2011-05-16 |
| 1730485178 | Barium Springs Home for Children | Community/Behavioral Health | 151 Desoto Trail, Sylva, NC 28779 | 2011-02-02 |
| 1154627594 | Barium Springs Home for Children | Community/Behavioral Health | 151 Desoto Trail, Sylva, NC 28779 | 2011-02-02 |
| 1760787931 | Barium Springs Home for Children | Community/Behavioral Health | 151 Desoto Trail, Sylva, NC 28779 | 2011-01-20 |
| 1225299530 | Marcia L Lewis | Counselor | 151 Desoto Trail, Sylva, NC 28779-6956 | 2008-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578109286 | Kristie Gail Smith | Nurse Practitioner | 98 Cope Creek Rd A-b, Sylva, NC 28779 | 2019-11-18 |
| 1538702667 | Charlie C Lytle | Speech-Language Pathologist | 185 Brick Farm Rd, Sylva, NC 28779 | 2019-10-22 |
| 1174040869 | Meridian Behavioral Health Services, Inc | Community/Behavioral Health | 516 Parris Branch Rd, Sylva, NC 28779 | 2017-08-24 |
| 1235562133 | Michelle Cooper Cagle | Social Worker | 587 Cope Creek Rd, Sylva, NC 28779 | 2013-08-14 |
| 1336459049 | Sara Ellen Curry | Social Worker | 98 D Cope Creek Road, Sylva, NC 28779 | 2010-10-15 |
| 1902137128 | Skyland House, LLC | Assisted Living Facility | 185 Brickfarm Road, Dillsboro, NC 28779 | 2010-01-28 |
| 1538349931 | Family Preservation Services of North Carolina, Inc. | Psychiatry & Neurology | 206 Marsh Lily Drive, Sylva, NC 28779 | 2007-11-14 |
| 1871783175 | Lauren Jenelle March | Psychologist | 70 Westcare Dr, Sylva, Sylva, NC 28779 | 2007-08-01 |
| 1285836205 | Peter C Buck | Counselor | 132 Ramblewood Dr., Sylva, NC 28779 | 2007-06-01 |
| 1508088873 | Pathways for The Future | Home Health | 525 Mineral Springs Drive, Sylva, NC 28779 | 2007-05-03 |
| Find all providers in zip 28779 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268746 | Jeanette Fisher | Counselor | 919 Haywood Rd Ste 104, Sylva, NC 28779-4558 | 2020-06-02 |
| 1518085091 | Nicholas Edwin Seay Emmanuel | Counselor | 151 Desoto Trl, Sylva, NC 28779 | 2007-03-26 |
| 1871525782 | Marsha Anne Griffin | Counselor | 22 Browning Rd, Sylva, NC 28779-3202 | 2006-07-07 |
| 1518998400 | Christine Kehle Mercier | Counselor | 1131 Falling Leaf Trl, Sylva, NC 28779-6216 | 2006-07-06 |
| 1649233453 | Keith Emory Delancey | Counselor | 44 Bonnie Ln, Sylva, NC 28779-8511 | 2006-04-11 |
| 1881239440 | Matthew Grotsky | Counselor | 44 Bonnie Ln, Sylva, NC 28779-8511 | 2019-11-07 |
| 1184274847 | Thuy T Do | Counselor | 44 Bonnie Ln, Sylva, NC 28779-8511 | 2019-09-16 |
| 1760944821 | Julia A Madison | Counselor | 44 Bonnie Ln, Sylva, NC 28779-8511 | 2019-04-05 |
| 1407317068 | Hights, Inc. | Counselor | 3770 Skyland Dr, Sylva, NC 28779-8360 | 2019-03-27 |
| 1568838852 | Charlotte Hagins | Counselor | 154 Medical Park Loop, Sylva, NC 28779-5271 | 2015-08-20 |
| Find all providers in SYLVA | ||||
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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.