DR. ROBERT ANDREW MCCULLY JR. (NPI# 1023250636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023250636 |
| Entity Type | Individual |
| Full Name | DR. ROBERT ANDREW MCCULLY JR. |
| Credential | D.MIN., LPCS, LCAS |
| Practice Address |
1243 E Dixon Blvd Shelby NC 28152-6978 |
| Mailing Address |
1016 Stonecrest Ln Gaffney SC 29341-3452 |
| Practice Telephone | 7044874000 |
| Practice Fax Number | 7044874005 |
| Mailing Telephone | 7046898882 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2017-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1227 | NC | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
6825 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043500721 | Robert Jonathan Mccully | Pediatrics | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2011-04-14 |
| Street Address |
1243 E DIXON BLVD |
| City | SHELBY |
| State | NC |
| Zip Code | 28152-6978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306374160 | Razhedatequila Eunicetage Sanford | Social Worker | 1243 E Dixon Blvd, Shelby, NC 28152-6978 | 2017-05-24 |
| 1790027316 | Bayada Home Health Care, Inc. | Home Health | 1243 E Dixon Blvd, Apt. B, Shelby, NC 28152-6978 | 2013-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831720820 | The Kid Guru, LLC | Community/Behavioral Health | 6852 Landor Drive, Shelby, NC 28152 | 2020-01-29 |
| 1609370568 | Crossroads Treatment Center of Cleveland County, PC | Community/Behavioral Health | 1895 E Dixon Blvd, Shelby, NC 28152 | 2018-03-23 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1902277981 | Angela Hamilton Jones | Social Worker | 1243 East Dixon Blvd., Suite 4, Shelby, NC 28152 | 2015-10-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1578963765 | Lucy Mcdaniel | Nurse Practitioner | 200 South Post Road, Shelby, NC 28152 | 2014-08-26 |
| 1689086332 | Stanley Todd Bilin | Marriage & Family Therapist | 1243-4 East Dixon Blvd, Shelby, NC 28152 | 2014-05-29 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1659602928 | Katherine Ruthsatz Kjergaard | Physician Assistant | 105 East College Street, Shelby, NC 28152 | 2010-01-26 |
| 1407099229 | Cnc / Access, Inc. | Community/Behavioral Health | 1165 Country Home Road, Shelby, NC 28152 | 2009-04-09 |
| Find all providers in zip 28152 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407373293 | Ldh Counseling & Consulting Pllc | Counselor | 213 Patton Dr Ste B, Shelby, NC 28150-4696 | 2017-08-23 |
| 1992100994 | Amber Blackwood Miner | Counselor | 425 Cherryville Rd, Shelby, NC 28150-3651 | 2014-11-03 |
| 1285979963 | Kimberly Cochran Jenkins | Counselor | 1201 S Post Rd Ste 2, Shelby, NC 28152-7417 | 2012-12-06 |
| 1467696187 | Ann Caswell Martin | Counselor | 997 Queens Cir, Shelby, NC 28150-5503 | 2009-04-24 |
| 1790925675 | Steve J. Leatherwood | Counselor | 1235 Fallston Rd, Shelby, NC 28150-3457 | 2009-03-04 |
| 1740445535 | Kimberly Sunshine Williams | Counselor | 618 N Morgan St, Shelby, NC 28150-4439 | 2008-07-22 |
| 1861698144 | Susan Huber Sullivan | Counselor | 407 W Warren St, Shelby, NC 28150-5329 | 2007-06-25 |
| 1194920199 | Wellness Training Associates Inc | Counselor | 201 W Marion St Ste 319, Shelby, NC 28150-5094 | 2007-06-19 |
| 1639370208 | Jennifer M. Stimpson | Counselor | 1907 Stony Point Rd, Shelby, NC 28150-9602 | 2007-05-30 |
| 1467542134 | Children's Homes of Cleveland County | Counselor | 1300c Gidney St., Shelby, NC 28150 | 2006-10-13 |
| Find all providers in SHELBY | ||||
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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.