PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC (NPI# 1194084194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194084194 |
| Entity Type | Organization |
| Organization Name | PROMISING YOUTH & ADULTS BEHAVIORAL HEALTHCARE, INC |
| Other Organization Name | PROMISING YOUTH, INC |
| Practice Address |
2750 E Wt Harris Blvd Ste 105 Charlotte NC 28213-4286 |
| Practice Telephone | 7045090009 |
| Practice Fax Number | 7044943555 |
| Mailing Telephone | 7045090009 |
| Mailing Fax Number | 7044943555 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2012-05-10 |
| Authorized Official Name | SHAUNTA BETHEA (CEO) |
| Authorized Official Telephone | 7042587051 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Promising Youth, Inc | Other Name - Individual/Organization |
| Street Address |
2750 E WT HARRIS BLVD STE 105 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28213-4286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194288241 | Tonya Denise Farmer | Nurse Practitioner | 620 Tom Hunter Road, Charlotte, NC 28213 | 2019-04-06 |
| 1447743331 | April Neville | Counselor | 2442 Ryerson Ct, Charlotte, NC 28213 | 2018-06-14 |
| 1194234328 | Specialized Health Care Services | Case Management | 2750 E. Wt Harris Blvd, Suite 128, Charlotte, NC 28213 | 2017-09-19 |
| 1871016816 | Monarch | Occupational Therapist | 1810 Back Creek Drive, Charlotte, NC 28213 | 2017-07-21 |
| 1609306778 | Mackenzie Cashman Precht | Physician Assistant | 2225 E W T Harris Blvd Unit B, Charlotte, NC 28213 | 2017-06-12 |
| 1861939118 | Nensi Pandya | Pharmacist | 10227 University City Blvd, Charlotte, NC 28213 | 2017-01-25 |
| 1952721458 | Morgan Washington | Specialist/Technologist | 2336 Comfrey Court, Charlotte, NC 28213 | 2014-04-23 |
| 1992132393 | Midway Healthcare | Home Health | 6003 Dovetree Lane Suite D, Charlotte, NC 28213 | 2013-09-30 |
| 1932445178 | Zachary Gachogu Kariuki | Counselor | 10417 Round Leaf Drive, Charlotte, NC 28213 | 2012-12-17 |
| 1962747675 | Crystal Cherie Simmons | Counselor | 13724 Riding Hill Ave, Charlotte, NC 28213 | 2012-12-06 |
| Find all providers in zip 28213 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041667 | Jalisa Jackson | Community Based Residential Treatment Facility, Mental Illness | 11413 Mangla Dr, Charlotte, NC 28214-8885 | 2020-10-19 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1306353248 | Families United | Community Based Residential Treatment Facility, Mental Illness | 6610 Harburn Forest Dr, Charlotte, NC 28269-6912 | 2017-12-31 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1104270636 | Dennis Griffin's Consulting | Community Based Residential Treatment Facility, Mental Illness | 4428 Staffordshire Ln, Charlotte, NC 28213-4238 | 2016-04-21 |
| 1336579077 | Growth and Wellness Center, LLC. | Community Based Residential Treatment Facility, Mental Illness | 12001 Olympic Club Dr, Charlotte, NC 28277-4057 | 2013-11-15 |
| 1912267477 | Between Faces Foundation, Inc | Community Based Residential Treatment Facility, Mental Illness | 13000 S Tryon St Ste F-179, Charlotte, NC 28278-7652 | 2012-05-17 |
| 1265747349 | Primary Care Solutions Inc | Community Based Residential Treatment Facility, Mental Illness | 6807 Idlewild Brook Ln, Charlotte, NC 28212-5858 | 2010-08-12 |
| 1902110828 | Primary Care Solutions Inc. | Community Based Residential Treatment Facility, Mental Illness | 2744 Fairstone Ave, Charlotte, NC 28269-5412 | 2010-08-03 |
| 1952531717 | Mecklenburg Open Door, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3950 Freedom Dr, Charlotte, NC 28208-2292 | 2009-07-15 |
| Find all providers in CHARLOTTE | ||||
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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.