H. DIANE JENKINS, LLC (NPI# 1891989752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891989752 |
| Entity Type | Organization |
| Organization Name | H. DIANE JENKINS, LLC |
| Other Organization Name | GAC COUNSELING |
| Practice Address |
110 W Elm St Yadkinville NC 27055-3313 |
| Mailing Address |
2820 Northbridge Rd Winston Salem NC 27103-6517 |
| Practice Telephone | 3365753747 |
| Practice Fax Number | 8664134793 |
| Mailing Telephone | 3365753747 |
| Mailing Fax Number | 8664134793 |
| Enumeration Date | 2007-09-04 |
| Last Update Date | 2007-10-05 |
| Authorized Official Name | HARRIET DIANE JENKINS (CEO) |
| Authorized Official Telephone | 3365753747 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | C002645 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6003126 | 05 |
| Other Name | Type Code |
|---|---|
| GAC Counseling | Doing Business As Name - Organization |
| Street Address |
110 W ELM ST |
| City | YADKINVILLE |
| State | NC |
| Zip Code | 27055-3313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366420192 | Suzanne Autrey Kelly | Counselor | 110 W Elm St, Yadkinville, NC 27055-1758 | 2006-01-03 |
| 1104239474 | Blue Ridge Counseling | Counselor | 110 W Elm St, Yadkinville, NC 27055-8203 | 2014-06-04 |
| 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 |
| 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 |
| 1770619686 | The Mental Health Association In North Carolina, Inc | Community/Behavioral Health | 748 N State St, Yadkinville, NC 27055-5253 | 2007-02-26 |
| 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 H. DIANE JENKINS, 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.