PERSONALIZED THERAPY, INC. (NPI# 1902028228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902028228 |
| Entity Type | Organization |
| Organization Name | PERSONALIZED THERAPY, INC. |
| Practice Address |
2317 Executive Cir Ste B Greenville NC 27834-3762 |
| Practice Telephone | 2523534968 |
| Practice Fax Number | 2523534967 |
| Mailing Telephone | 2523534968 |
| Mailing Fax Number | 2523534967 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | MRS. KIM MCINTYRE (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 2523534968 |
| Authorized Official Credential | MS, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
4144 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005249 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316125545 | Personalized Therapy, Inc. | Community/Behavioral Health | 1226 Mann Dr, Suite 100, Matthews, NC 28105-5532 | 2008-02-11 |
| 1699078311 | Personalized Therapy, Inc. | Community/Behavioral Health | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2010-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PERSONALIZED THERAPY, INC. | 4875 Mills Civic Parkway, West Des Moines, IA 50265 |
| Street Address |
2317 EXECUTIVE CIR STE B |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27834-3762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750328910 | Wanda Lynn Lancaster | Nurse Practitioner | 2317 Executive Cir Ste B, Executive Park West, Greenville, NC 27834-3762 | 2006-05-31 |
| 1093239113 | Trevor Dion Elfe Blue | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2017-07-31 |
| 1609323047 | Shannon Chamblee | Counselor | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2016-09-01 |
| 1700290954 | Tameika Gay | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2014-06-16 |
| 1073858478 | Courtney Steffenhagen | Marriage & Family Therapist | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-12-11 |
| 1730440439 | Anissa Johnson | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-05-30 |
| 1184984791 | Lynette Arlene Weaver | Counselor | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2012-05-17 |
| 1578840914 | Karma Davis Warren | Social Worker | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2011-11-14 |
| 1699078311 | Personalized Therapy, Inc. | Community/Behavioral Health | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2010-12-20 |
| 1700095684 | Maria Ann Saporito | Marriage & Family Therapist | 2317 Executive Cir Ste B, Greenville, NC 27834-3762 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
| 1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
| 1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
| 1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
| 1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
| 1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
| 1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
| 1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
| 1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
| Find all providers in zip 27834 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356951818 | Infuse Counseling Pllc | Counselor | 235 Commerce St Ste 3, Greenville, NC 27858-9965 | 2020-08-08 |
| 1427671817 | Lauren Gordon | Counselor | 2411 Wesley St Ste 303, Greenville, TX 75401-3368 | 2020-05-20 |
| 1902426927 | Kristy Nicole Wood | Counselor | 114 Cherry Ct Apt D, Greenville, NC 27858-4274 | 2020-04-20 |
| 1578192936 | Magnolia Health & Wellness | Counselor | 211 Commerce St Ste C, Greenville, NC 27858-5030 | 2020-04-06 |
| 1093354482 | Another Way Counseling, LLC | Counselor | 202 Tanner Chase Way, Greenville, SC 29607-6402 | 2020-01-02 |
| 1073157913 | A Soothing & Comforting Touch, Inc | Counselor | 301 Airport Rd Ste E, Greenville, SC 29607-2610 | 2019-11-04 |
| 1073178992 | Chameka Konswela Duncan | Counselor | 126 Wild Dogwood Way, Greenville, SC 29605-5966 | 2019-05-06 |
| 1679137269 | Youth Full Innovations of The Carolina's, LLC | Counselor | 151 Commons Way Ste C1, Greenville, SC 29611-3850 | 2019-04-29 |
| 1851955165 | Crew Case Management and Consulting Services South LLC | Counselor | 210 W Stone Ave Ste Lr1, Greenville, SC 29609-5493 | 2019-04-23 |
| 1437610789 | Positive Directions, LLC | Counselor | 25 Woods Lake Rd Ste 321, Greenville, SC 29607-2762 | 2019-03-28 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27834 |
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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.