DAYMARK RECOVERY SERVICES INC (NPI# 1063567238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063567238 |
| Entity Type | Organization |
| Organization Name | DAYMARK RECOVERY SERVICES INC |
| Practice Address |
1190 W Roosevelt Blvd Monroe NC 28110-2818 |
| Mailing Address |
284 Executive Park Drive Suite 100 Concord NC 28025-1894 |
| Practice Telephone | 7042966200 |
| Practice Fax Number | 7042964669 |
| Mailing Telephone | 7049391100 |
| Mailing Fax Number | 7049391173 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2014-10-28 |
| Authorized Official Name | MR. BILLY R WEST JR. (PRESIDENT) |
| Authorized Official Telephone | 7049391100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
Behavioral Health & Social Service Providers | ||
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
Behavioral Health & Social Service Providers | ||
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
MHL-090-004 | NC | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005643 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
| 1144790965 | Daymark Recovery Services Inc | Community/Behavioral Health | 110 W Walker Ave Fl 1, Asheboro, NC 27203-6760 | 2018-12-05 |
| 1073035804 | Daymark Recovery Services Inc | Community/Behavioral Health | 2986 Traphill Rd, Classrooms 179, 180, 181, Hays, NC 28635-9386 | 2017-07-13 |
| 1184146011 | Daymark Recovery Services Inc | Community/Behavioral Health | 200 C.c. Wright School Road, Classrooms 126, 127, North Wilkesboro, NC 28659 | 2017-07-12 |
| 1134654601 | Daymark Recovery Services Inc | Counselor | 1104b S Main St, Lexington, NC 27292-3134 | 2017-04-21 |
| 1942759030 | Daymark Recovery Services Inc | Community/Behavioral Health | 190 Mulberry School Rd, Classrooms 139, 141, N Wilkesboro, NC 28659-9112 | 2016-09-29 |
| 1396291035 | Daymark Recovery Services Inc | Psychiatry & Neurology | 109 Goose Rock Ct, Holly Springs, NC 27540-7933 | 2016-09-01 |
| 1952759011 | Daymark Recovery Services Inc | Community/Behavioral Health | 1677 N Nc Highway 16, Classrooms 701,702,703, Wilkesboro, NC 28697-8324 | 2016-05-31 |
| 1942666334 | Daymark Recovery Services Inc | Psychiatry & Neurology | 127 N Tryon St Unit 516, Charlotte, NC 28202-2194 | 2016-01-14 |
| 1417321159 | Daymark Recovery Services Inc | Psychiatry & Neurology | 821 N Bragg Ave, Lookout Mountain, TN 37350-1003 | 2015-11-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DAYMARK RECOVERY SERVICES INC | 360 Beech St, Newland, NC 28657-9670 |
| Street Address |
1190 W ROOSEVELT BLVD |
| City | MONROE |
| State | NC |
| Zip Code | 28110-2818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164418125 | Devendra C. Shah | Psychiatry & Neurology | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2005-09-26 |
| 1235742610 | Kirsten Deann Cole | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-08-26 |
| 1588283816 | Brianna Jayde Russell | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-04-16 |
| 1346874773 | Krista M Capobianco | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-25 |
| 1386278794 | Megan Small | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2020-02-24 |
| 1710523196 | Clarissa Anita Elmore | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-11-21 |
| 1730640517 | Haley Bradley | Marriage & Family Therapist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-26 |
| 1205397197 | Kelsey Fish | Counselor | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2019-03-25 |
| 1649731514 | Eusheakia Blakeney | Clinical Nurse Specialist | 1190 W Roosevelt Blvd, Monroe, NC 28110-2818 | 2019-03-25 |
| 1578034930 | Chelsea Storm Elaann Griffith | Social Worker | 1190 W Roosevelt Blvd, Monroe, NC 28110 | 2018-12-11 |
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|---|---|---|---|---|
| 1164987996 | Austin Drugs, Inc | Pharmacy | 3513 Suite B Highway 74 E, Monroe, NC 28110 | 2019-02-06 |
| 1366922353 | First Choice Supply, Inc | Clinic/Center | 2909 Waycross Dr, Monroe, NC 28110 | 2018-08-19 |
| 1235616491 | Joshua Gibbons | Physical Therapist | 1999 Wellness Blvd., Suite 220, Monroe, NC 28110 | 2018-07-20 |
| 1508356940 | Latoya I Sheppard | Prosthetist | 1643 Hilton Meadow Dr, Monroe, NC 28110 | 2018-05-11 |
| 1598266546 | Healthstat Onsite Clinic Conmet Monroe 1 | Preventive Medicine | 780 Patterson Avenue, Monroe, NC 28110 | 2018-02-26 |
| 1801397864 | Healthstat Onsite Con Met Monroe 2 | Preventive Medicine | 4515 Corporate Center Drive, Monroe, NC 28110 | 2018-02-26 |
| 1366969834 | Megan Thomas | Nurse Practitioner | 5708 Concord Hwy, Monroe, NC 28110 | 2017-08-25 |
| 1619385168 | Dillon Byrum | Specialist/Technologist | 28110 Eagle View Lane, Monroe, NC 28110 | 2014-07-29 |
| 1932545266 | Shane Markey | Dentist | 2258 W. Roosevelt Blvd, Suite A Dentistry of The Carolinas, Monroe, NC 28110 | 2013-05-14 |
| 1952648644 | Rolanda Johnson Abney | Social Worker | 2661 W Roosevelt Blvd Ste 107, Monroe, NC 28110 | 2013-01-15 |
| Find all providers in zip 28110 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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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.