THERAPEUTIC BEHAVIORAL HEALTHCARE SERVICES (NPI# 1104158047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104158047 |
| Entity Type | Organization |
| Organization Name | THERAPEUTIC BEHAVIORAL HEALTHCARE SERVICES |
| Practice Address |
302 N Main St Fairmont NC 28340-1730 |
| Mailing Address |
Po Box 1664 Fairmont NC 28340-1103 |
| Practice Telephone | 9106280556 |
| Mailing Telephone | 9106285655 |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |
| Authorized Official Name | MR. WILLIE E. SPRUILL (CEO) |
| Authorized Official Telephone | 9106285655 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689906521 | Therapeutic Behavioral Healthcare Services | Home Health | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1033441977 | Therapeutic Behavioral Healthcare Services | Counselor | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1780916627 | Therapeutic Behavioral Healthcare Services | Foster Care Agency | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1891026886 | Therapeutic Behavioral Healthcare Services | Community/Behavioral Health | 302 N Main St, Fairmont, NC 28340-1730 | 2010-01-15 |
| Street Address |
302 N MAIN ST |
| City | FAIRMONT |
| State | NC |
| Zip Code | 28340-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952301079 | Southeastern Psychological Services | Specialist | 302 N Main St, Fairmont, NC 28340-1730 | 2005-07-29 |
| 1265703201 | The Dream Academy, Inc. | Case Management | 302 N Main St, Fairmont, NC 28340-1730 | 2012-01-23 |
| 1700164613 | Therapeutic Behavioral Healthcare Services, LLC | Home Health | 302 N Main St, Fairmont, NC 28340-1730 | 2011-07-26 |
| 1821313958 | Anthony Pittman | Counselor | 302 N Main St, Fairmont, NC 28340-1730 | 2010-03-31 |
| 1689906521 | Therapeutic Behavioral Healthcare Services | Home Health | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1033441977 | Therapeutic Behavioral Healthcare Services | Counselor | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1780916627 | Therapeutic Behavioral Healthcare Services | Foster Care Agency | 302 N Main St, Fairmont, NC 28340-1730 | 2010-02-03 |
| 1891026886 | Therapeutic Behavioral Healthcare Services | Community/Behavioral Health | 302 N Main St, Fairmont, NC 28340-1730 | 2010-01-15 |
| 1508990979 | Melissa Johanna Spencer | Specialist | 302 N Main St, Fairmont, NC 28340-1730 | 2007-03-15 |
| 1669547204 | Mary Lewis Hardin | Psychologist | 302 N Main St, Fairmont, NC 28340-1730 | 2006-11-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023250347 | Independent Community-based Services LLC | Home Health | 107 N Morro St., Fairmont, NC 28340 | 2009-04-01 |
| 1801960083 | Greenbrier Ltc Inc | Assisted Living Facility | 703 South Walnut St, Fairmont, NC 28340 | 2006-11-20 |
| 1275969487 | Robeson Health Care Corporation | Pharmacy | 1212 S Walnut St, Fairmont, NC 28340 | 2013-09-19 |
| 1033221130 | Jeffrey Lemont Hunter | Counselor | 314 S Main St, Fairmont, NC 28340 | 2006-08-31 |
| 1912924648 | Danny Cox | Durable Medical Equipment & Medical Supplies | 234 S Main St, Homecare Medical Products, Fairmont, NC 28340 | 2006-07-17 |
| 1417914722 | Robeson Health Care Corporation | Counselor | 1212 S Walnut St, Fairmont, NC 28340 | 2006-04-28 |
| 1952768426 | Latanya Breeden | Adult Companion | 609 Martin Luther King Dr, Fairmont, NC 28340-1311 | 2016-01-28 |
| 1033252440 | Stephens Outreach Center, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 608a Martin Luther King Dr, Fairmont, NC 28340-1312 | 2007-02-15 |
| 1629027842 | James Clifton Herring Jr. | Optometrist | 1516 Alexander St, Fairmont, NC 28340-1406 | 2006-05-06 |
| 1225142391 | Sean Brian Woken | Chiropractor | 208 Iona St, Fairmont, NC 28340-1616 | 2006-08-18 |
| Find all providers in zip 28340 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043759368 | Essential Needs Homecare | Day Training, Developmentally Disabled Services | 2019 Pleasant Valley Rd, Fairmont, WV 26554-9295 | 2017-02-20 |
| 1558591685 | Life Changing Behaviral Health Services | Day Training, Developmentally Disabled Services | 314 S Main St, Fairmont, NC 28340-1906 | 2009-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060572 | Stand By Me Mhs L.l.s | Day Training, Developmentally Disabled Services | 3221 Loftyview Dr, High Point, NC 27260-2617 | 2020-10-12 |
| 1811508427 | Brian S Coleman | Day Training, Developmentally Disabled Services | 3205 Midvale Dr Apt 107, Wilmington, NC 28412-3800 | 2020-08-17 |
| 1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
| 1922626357 | Tomesha Chimere' Flow | Day Training, Developmentally Disabled Services | 1204 Hadel Pl, Knightdale, NC 27545-7513 | 2020-07-13 |
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1366064479 | Evolving Hands Health Care Services | Day Training, Developmentally Disabled Services | 1099 Barrett Cabin Rd, Murfreesboro, NC 27855-9380 | 2020-05-12 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1417593005 | Ehomecare | Day Training, Developmentally Disabled Services | 18 Palaside Dr Ne, Concord, NC 28025-3026 | 2019-11-19 |
| 1972149565 | All Care | Day Training, Developmentally Disabled Services | 416 Old Charlotte Rd Sw, Concord, NC 28027-6314 | 2019-11-19 |
| 1891356267 | Onas Place | Day Training, Developmentally Disabled Services | 115 W Court St Ste A, Rutherfordton, NC 28139-2820 | 2019-06-25 |
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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.