ROBERSONVILLE PSYCHOSOCIAL REHABILITATION LLC (NPI# 1942504428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942504428 |
| Entity Type | Organization |
| Organization Name | ROBERSONVILLE PSYCHOSOCIAL REHABILITATION LLC |
| Practice Address |
3709 Barton Way Grimesland NC 27837-9159 |
| Practice Telephone | 2527141755 |
| Practice Fax Number | 2523292740 |
| Mailing Telephone | 2527141755 |
| Mailing Fax Number | 2523292740 |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | KATHY SCHUTZ (PRESIDENT) |
| Authorized Official Telephone | 2527141755 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
3709 BARTON WAY |
| City | GRIMESLAND |
| State | NC |
| Zip Code | 27837-9159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424917 | Greene County Health Care Incorporated | Clinic/Center | 550 River Street, Grimesland, NC 27837 | 2005-08-11 |
| 1902352123 | Life Primary Care Clinic, Pllc | Nurse Practitioner | 550 River Street, Grimesland, NC 27837 | 2016-08-28 |
| 1508138199 | Kimberly Dawn Ennis | Social Worker | 513 Lancelot Street, Grimesland, NC 27837-0567 | 2012-01-30 |
| 1790107357 | Tracey Lee Smith | Physician Assistant | 1970-c West Arlington Blvd, Greenville, NC 27837-5783 | 2014-01-15 |
| 1609204585 | Charley Tyre | Nurse Practitioner | 2627 Winding Cv, Grimesland, NC 27837-8612 | 2013-10-31 |
| 1467078907 | Morgan Sutton | Student in an Organized Health Care Education/Training Program | 221 Tripp Trl, Grimesland, NC 27837-8701 | 2020-06-21 |
| 1598108664 | George Brian Harris | Counselor | 2812 Mobleys Bridge Rd, Grimesland, NC 27837-8832 | 2013-04-09 |
| 1396912986 | Diane K. Bradshaw | Counselor | 367 Great Forest Rd, Grimesland, NC 27837-9049 | 2008-05-13 |
| 1265621049 | Life Options | Health Maintenance Organization | 4743 Ariel Dr, Grimesland, NC 27837-9107 | 2007-10-17 |
| 1275917924 | 3s Therapy, P.C. | Speech-Language Pathologist | 3116 Juniper Branch Dr, Grimesland, NC 27837-9167 | 2015-07-13 |
| Find all providers in zip 27837 | ||||
| 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 |
|---|---|---|---|---|
| 1386932929 | Connecting Hearts Outreach, Inc. | Community/Behavioral Health | 545 Rachel Ln, Grimesland, NC 27837-9246 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121438 | Curtis Wayne Royal | Community/Behavioral Health | 1407 Groveland Trl, Greensboro, NC 27407-5061 | 2020-10-09 |
| 1578178588 | Emmanuel Homecare, Inc. | Community/Behavioral Health | 12551 Hashanli Pl, Matthews, NC 28105-3401 | 2020-09-15 |
| 1336753284 | Transformation Health Services Inc. | Community/Behavioral Health | 2023 Connonade Dr, Waxhaw, NC 28173-0109 | 2020-09-08 |
| 1053925099 | Essential Pathways Counseling and Consulting, Pllc | Community/Behavioral Health | 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 | 2020-09-08 |
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1669086948 | October Road, Inc. | Community/Behavioral Health | 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 | 2020-09-03 |
| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | GRIMESLAND |
| Zip Code | 27837 |
Please comment or provide details below to improve the information on ROBERSONVILLE PSYCHOSOCIAL REHABILITATION 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.