DR. LEON HARLIE STURDIVANT SR. (NPI# 1215106984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215106984 |
| Entity Type | Individual |
| Full Name | DR. LEON HARLIE STURDIVANT SR. |
| Credential | ED.D. |
| Practice Address |
808 Mystic Dr Greensboro NC 27406-5726 |
| Mailing Address |
2501 Donlora Dr Greensboro NC 27407-6015 |
| Practice Telephone | 3368541718 |
| Practice Fax Number | 3368541718 |
| Mailing Telephone | 3368541718 |
| Mailing Fax Number | 3368541718 |
| Enumeration Date | 2008-02-26 |
| Last Update Date | 2008-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | MHL041732 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 9500744861 | 05 |
| Street Address |
808 MYSTIC DR |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27406-5726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649449091 | Faith Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 808 Mystic Dr, Greensboro, NC 27406-5726 | 2008-02-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548750201 | Lesia Ann Lancaster | Counselor | 1451 South Elm-eugene Street, Suite 3109, Greensboro, NC 27406 | 2018-05-17 |
| 1538667092 | Brittany T. Price | Specialist/Technologist | 5806 Davis Mill Rd., Greensboro, NC 27406 | 2018-01-30 |
| 1457868168 | Therapyworks Counseling, Pllc | Clinic/Center | 1451 S Elm Eugene St Unit 54, Greensboro, NC 27406 | 2018-01-03 |
| 1548776644 | Brent Douglas Sprinkle | Counselor | 1451 S Elm Eugene St # 3107, Greensboro, NC 27406 | 2017-12-27 |
| 1922537216 | Liam Buckley | Specialist/Technologist | 201 Mcadoo Avenue, Apt 3f, Greensboro, NC 27406 | 2017-06-08 |
| 1669903589 | Reba Siler Kennedy | Specialist | 1325 South Eugene Street, Suite 102, Greensboro, NC 27406 | 2017-03-22 |
| 1811433089 | Lee Street Services LLC | Community/Behavioral Health | 1202 East Mountain St, Unit C, Kernersville, NC 27406 | 2017-01-12 |
| 1811430184 | A & A Health Care Agency, Inc. | Custodial Care Facility | 2600 Kilpatrick-white Rd, Greensboro, NC 27406 | 2016-11-18 |
| 1063877900 | Yolanda Deonne Ector | Rehabilitation Practitioner | 5605 Country Club Rd, Greensboro, NC 27406 | 2015-12-18 |
| 1053785121 | Mamie Turner | Behavioral Analyst | 5202 Olde Forest Dr, Greensboro, NC 27406 | 2015-11-30 |
| Find all providers in zip 27406 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1750525648 | Alamance House | Psychiatric Residential Treatment Facility | 1473 Alamance Church Rd, Greensboro, NC 27406-9415 | 2009-04-23 |
| 1164581203 | Linda C. Glasgow | Psychiatric Residential Treatment Facility | 2206 Emerywood Rd, Greensboro, NC 27403-3765 | 2006-12-06 |
| 1447292669 | Youth Focus, Inc. | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd, Greensboro, NC 27405-5509 | 2006-06-12 |
| 1326412578 | Elite Adolescent Care, Inc. | Psychiatric Residential Treatment Facility | 4501 Old Battleground Rd, Greensboro, NC 27410-9352 | 2015-11-25 |
| 1841536018 | Youth Focus Rtc | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd, Greensboro, NC 27405-5509 | 2012-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1750827150 | Stephen's Home | Psychiatric Residential Treatment Facility | 6214 Paylor St, Mebane, NC 27302-7020 | 2017-01-10 |
| 1013450055 | Rwilliams | Psychiatric Residential Treatment Facility | 511 Tansy Dr, Charlotte, NC 28214-8832 | 2016-11-23 |
| 1891247490 | Healing Community Adult Cre | Psychiatric Residential Treatment Facility | 55 Congress St, Asheville, NC 28801-4342 | 2016-10-30 |
| 1598219149 | Equinox Rtc, LLC | Psychiatric Residential Treatment Facility | 2420 Middle Fork Rd, Hendersonville, NC 28792-1032 | 2016-08-12 |
| 1497128631 | The Woodard Home | Psychiatric Residential Treatment Facility | 4100 Cherry Tree Dr, Monroe, NC 28110-9692 | 2015-11-10 |
| 1184096661 | Canyon Hills Treatment Facility, LLC | Psychiatric Residential Treatment Facility | 769 Aberdeen Rd, Raeford, NC 28376-0029 | 2015-10-23 |
| 1891164174 | Kearney Home | Psychiatric Residential Treatment Facility | 4408 Iyar Way, Wake Forest, NC 27587-4166 | 2015-09-17 |
| 1396111837 | Mcguinn Home | Psychiatric Residential Treatment Facility | 16 Columbia Cir, Hendersonville, NC 28792-7005 | 2015-08-19 |
| 1487020921 | Hill Home | Psychiatric Residential Treatment Facility | 2313 Huntington Rd, Burlington, NC 27215-6140 | 2015-08-19 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27406 |
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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.