321 MENTAL HEALTH/SUBSTANCE ABUSE CRISIS RESPONSE CENTER, PLLC


Address: 3232 Summerfield Ridge Ln, Matthews, NC 28105-8507
Phone: 7049188513

321 MENTAL HEALTH/SUBSTANCE ABUSE CRISIS RESPONSE CENTER, PLLC (NPI# 1861874794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861874794
Entity Type Organization
Organization Name 321 MENTAL HEALTH/SUBSTANCE ABUSE CRISIS RESPONSE CENTER, PLLC
Practice Address 3232 Summerfield Ridge Ln
Matthews
NC 28105-8507
Mailing Address Po Box 562
Matthews
NC 28106-0562
Practice Telephone 7049188513
Practice Fax Number 7042919354
Mailing Telephone 7049188513
Mailing Fax Number 7042919354
Enumeration Date 2015-06-27
Last Update Date 2015-08-19
Authorized Official Name MS. REGENIA MAE HUBBARD (OWNER/OPERATOR)
Authorized Official Telephone 9192470535
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health C009113 NC Agencies

Office Location

Street Address 3232 SUMMERFIELD RIDGE LN
City MATTHEWS
State NC
Zip Code 28105-8507

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750917407 Lauren Deasy Blackshaw Counselor 1163 Sam Newell Rd, Matthews, NC 28105 2020-03-13
1912549643 Monarch Community/Behavioral Health 10545 Paces Avenue 634, Matthews, NC 28105 2019-10-15
1326515768 Holly Harvey Heddleson Nurse Practitioner 1450 Matthews Township Pkwy Ste 280, Matthews, NC 28105 2018-10-24
1396241030 Erickson Health Medical Group of North Carolina, PC Internal Medicine 2030 Windsor Run Lane, Matthews, NC 28105 2018-04-02
1811406994 Lice Clinics of America of The Carolinas Technician, Other 3042 Suite C Senna Dr, Matthews, NC 28105 2017-09-21
1376065003 Carillon Assisted Living of Mint Hill, LLC Custodial Care Facility 5601 Margaret Wallace Road, Matthews, NC 28105 2017-07-14
1568906055 London Young Physical Therapy Assistant 11100- 11189 Berkley Square Ln, Charlotte, NC 28105 2016-12-19
1003363128 New Beginnings Community Counseling Center Community/Behavioral Health 5232 Maragaret Wallace Road, Matthews, NC 28105 2016-09-07
1275993149 Kristi Dougan Nurse Practitioner 434 N Trade St Ste 104, Matthews, NC 28105 2016-03-04
1205219896 Kalyani Vellanki Starr Dentist 1819 Matthews Township Pkwy Ste 200, Matthews, NC 28105 2015-07-01
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578178588 Emmanuel Homecare, Inc. Community/Behavioral Health 12551 Hashanli Pl, Matthews, NC 28105-3401 2020-09-15
1164048120 Qc House of Hope Community/Behavioral Health 9915 Treeside Ln, Matthews, NC 28105-7221 2020-06-24
1033755038 Monarch Community/Behavioral Health 202 Raintree Dr, Matthews, NC 28104-7315 2019-11-25
1912549643 Monarch Community/Behavioral Health 10545 Paces Avenue 634, Matthews, NC 28105 2019-10-15
1952831158 Serenity Counseling Services Community/Behavioral Health 5232 Margaret Wallace Rd, Matthews, NC 28105-2110 2017-06-20
1174067417 The Lifeskills Counseling & Consulting Group Community/Behavioral Health 1300 Matthews Mint Hill Rd, Matthews, NC 28105-2306 2016-12-06
1003363128 New Beginnings Community Counseling Center Community/Behavioral Health 5232 Maragaret Wallace Road, Matthews, NC 28105 2016-09-07
1417301045 Transitional Life, LLC Community/Behavioral Health 4202 Painted Trillium Ct, Matthews, NC 28105-0120 2016-04-20
1538595632 Transcend E.d. Community/Behavioral Health 134 W Matthews St, Matthews, NC 28105-1305 2013-09-20
1003248808 Outlook Forensic and Behavioral Health Community/Behavioral Health 1254 Mann Dr, Suite 100, Matthews, NC 28105-5545 2013-08-02
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City MATTHEWS
Zip Code 28105

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Dataset Information

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.

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