SUPPORTED LIVING YOUTH, FAMILY & CHILDREN SERVICES, INC. (NPI# 1942343413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942343413 |
| Entity Type | Organization |
| Organization Name | SUPPORTED LIVING YOUTH, FAMILY & CHILDREN SERVICES, INC. |
| Practice Address |
5604 Valley Field Road Hickory NC 28602-5424 |
| Mailing Address |
Po Box 3398 Monroe NC 28111-3398 |
| Practice Telephone | 7042836002 |
| Practice Fax Number | 7042251582 |
| Mailing Telephone | 7042836002 |
| Mailing Fax Number | 7042251582 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2008-08-01 |
| Authorized Official Name | KIRK ANTHONY HILLIAN (DIRECTOR) |
| Authorized Official Telephone | 7046041566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | MHL018074 | NC | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603910 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235272717 | Supported Living Youth, Family & Children Services, Inc. | Counselor | 717 White Oaks Circle, Monroe, NC 28112-7014 | 2007-02-15 |
| Street Address |
5604 VALLEY FIELD ROAD |
| City | HICKORY |
| State | NC |
| Zip Code | 28602-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063983286 | Ivan Ortega | Health Educator | 810 Fairgrove Church Road Se, Hickory, NC 28602 | 2018-12-16 |
| 1578078895 | Zachary Chad Greer | Physician Assistant | 1927 3rd Ave Ln Se, Hickory, NC 28602 | 2017-12-08 |
| 1952842015 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 2264 Us Highway 70 Se, Hickory, NC 28602 | 2017-03-09 |
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1639616725 | Francisca Blanco | Clinic/Center | 5276 0lde School Dr, Hickory, NC 28602 | 2017-01-26 |
| 1982155263 | Livanta Medical Center | Physician Assistant | 2105 Catawba Valley Blvd Se, Hickory, NC 28602 | 2016-10-20 |
| 1225588817 | Melike Demirozu | Social Worker | 738 4th St. Sw, Hickory, NC 28602 | 2016-10-07 |
| 1528411592 | April Prout | Social Worker | 1053 13th St Se, Hickory, NC 28602 | 2016-07-14 |
| 1457706921 | Maitry Parikh | Dentist | 2535 Us Highway 70 Se Ste 112, Hickory, NC 28602 | 2016-05-03 |
| 1245614510 | Doran Stilwell | Physical Therapy Assistant | 4161 South Fork Avenue, Hickory, NC 28602 | 2015-07-16 |
| Find all providers in zip 28602 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013456318 | Juanita Brown | Counselor | 306 4th St Sw, Hickory, NC 28602 | 2017-02-20 |
| 1366736951 | Kavita Surana | Counselor | 101 Government Ave. Suite 310 S.w., Hickory, NC 28602 | 2011-06-01 |
| 1528252814 | Tina Greer Bentley | Counselor | 49 Michaels Gap Ln, Hickory, NC 28601-8186 | 2007-08-30 |
| 1447396262 | Lutheran Family Services In The Carolinas | Counselor | 867 5th St Ne, Hickory, NC 28601-3939 | 2007-01-29 |
| 1780606186 | Dawn Maltba Thompson | Counselor | 1045 12th Ave Nw, Hickory, NC 28601-3305 | 2006-07-24 |
| 1043824824 | Pathways Human Services of North Carolina, LLC | Counselor | 738 4th St Sw, Hickory, NC 28602-3401 | 2020-08-31 |
| 1992279103 | Denesia C Huttula | Counselor | 439 1st Ave Nw, Hickory, NC 28601-6124 | 2019-01-22 |
| 1265959282 | Support Incorporated | Counselor | 738 4th St Sw, Hickory, NC 28602-3401 | 2017-08-30 |
| 1639602519 | Melanie Coggins | Counselor | 1077 13th St Se, Hickory, NC 28602-4165 | 2017-04-06 |
| 1386193506 | Joshua David Smith | Counselor | 1170a Fairgrove Church Rd, Hickory, NC 28602-9695 | 2016-09-29 |
| Find all providers in HICKORY | ||||
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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.