DAYMARK RECOVERY SERVICES INC (NPI# 1073755732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073755732 |
Entity Type | Organization |
Organization Name | DAYMARK RECOVERY SERVICES INC |
Practice Address |
121 E Elwood Ave Raeford NC 28376-2947 |
Mailing Address |
284 Executive Park Drive Suite 100 Concord NC 28025-1894 |
Practice Telephone | 9108758156 |
Practice Fax Number | 9108759560 |
Mailing Telephone | 7049391100 |
Mailing Fax Number | 7049391173 |
Enumeration Date | 2009-03-27 |
Last Update Date | 2018-02-23 |
Authorized Official Name | MR. BILLY R WEST JR. (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7049391100 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 101YP2500X |
Counselor Specialization: Professional |
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 | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
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 |
121 E ELWOOD AVE |
City | RAEFORD |
State | NC |
Zip Code | 28376-2947 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497772271 | Sandhills Center for Mental Health, Developmental Disabilities and Sub | Psychiatry & Neurology | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2006-07-16 |
1760014211 | Elizabeth Ann Watson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2020-02-12 |
1225523921 | Lauren Phillips | Social Worker | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2018-06-25 |
1861994196 | Brittany Kay Bridges | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2018-03-02 |
1033628722 | Rhonda Peterson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2017-09-25 |
1124566401 | Alexandra Barth | Counselor | 121 E Elwood Ave, Raeford, NC 28376 | 2017-02-07 |
1356794440 | Shaquita Danielle Jones | Nurse Practitioner | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2016-07-13 |
1538405519 | Lynn Pearson Hopler | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2012-12-20 |
1174868400 | Tameca D Davis | Social Worker | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2012-11-27 |
1407106610 | Vernon R Johnson | Counselor | 121 E Elwood Ave, Raeford, NC 28376-2947 | 2012-09-14 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
Find all providers in zip 28376 |
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 |
---|---|---|---|---|
1063869246 | Quest Family Care, Inc | Community/Behavioral Health | 6331 Philippi Church Rd, Raeford, NC 28376-6127 | 2016-05-18 |
1366896425 | Tisha Evans | Community/Behavioral Health | 156 Rye Ln, Raeford, NC 28376-5301 | 2016-04-14 |
1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
1407267883 | Makin' Choices, Inc. | Community/Behavioral Health | 255 Castle Creek Dr, Raeford, NC 28376-8515 | 2014-05-19 |
1427496777 | Monarch | Community/Behavioral Health | 1992 Turnpike Rd, Raeford, NC 28376-8597 | 2013-06-10 |
1437403052 | Lyfe Changing Services, LLC | Community/Behavioral Health | 120 Mayflower Ln, Raeford, NC 28376-9799 | 2012-11-05 |
1134402464 | Truth Mental Health Substance | Community/Behavioral Health | 120 W Edinborough Ave, Raeford, NC 28376-2859 | 2011-09-22 |
1598085102 | Monarch | Community/Behavioral Health | 1212 E Prospect Ave, Raeford, NC 28376-3027 | 2010-06-04 |
1881821635 | Monarch | Community/Behavioral Health | 170 Oak St, Raeford, NC 28376-3270 | 2009-06-19 |
Find all providers in RAEFORD |
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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.