CAROLINA OUTREACH, LLC (NPI# 1285054692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285054692 |
| Entity Type | Organization |
| Organization Name | CAROLINA OUTREACH, LLC |
| Practice Address |
831 S Brightleaf Blvd Smithfield NC 27577 |
| Mailing Address |
712 Wilkins St Ste D&e Smithfield NC 27577-4664 |
| Practice Telephone | 9192519001 |
| Mailing Telephone | 9192519001 |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2018-05-31 |
| Authorized Official Name | ROB DAVIS (ADMIN SUPPORT) |
| Authorized Official Telephone | 9192519001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134684392 | Carolina Outreach, LLC | Community/Behavioral Health | 324 Person St, Fayetteville, NC 28301-5736 | 2019-02-01 |
| 1669858510 | Carolina Outreach, LLC | Community/Behavioral Health | 5108 Reagan Dr Ste 13&14, Charlotte, NC 28206-3103 | 2015-08-03 |
| 1922431089 | Carolina Outreach, LLC | Community/Behavioral Health | 112 E Park Dr, Beulaville, NC 28518-6916 | 2013-08-13 |
| 1013340173 | Carolina Outreach, LLC | Community/Behavioral Health | 139 N Center St, Goldsboro, NC 27530-3620 | 2013-08-13 |
| 1902239130 | Carolina Outreach, LLC | Community/Behavioral Health | 608 Nash St Ne, Wilson, NC 27893-3045 | 2013-08-12 |
| 1124582432 | Carolina Outreach, LLC | Community/Behavioral Health | 2000 Yonkers Rd, Raleigh, NC 27604-2258 | 2019-01-31 |
| 1679956601 | Carolina Outreach, LLC | Community/Behavioral Health | 3325 Durham Chapel Hill Blvd Ste 210, Durham, NC 27707-2646 | 2015-07-08 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1427456524 | Carolina Outreach, LLC | Clinical Medical Laboratory | 3012 Falstaff Rd, Raleigh, NC 27610-1813 | 2014-12-05 |
| 1043625353 | Carolina Outreach, LLC | Clinical Medical Laboratory | 2670 Durham Chapel Hill Blvd, Durham, NC 27707 | 2014-06-25 |
| Street Address |
831 S BRIGHTLEAF BLVD |
| City | SMITHFIELD |
| State | NC |
| Zip Code | 27577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790096030 | Cornerstone Community Support Services, Inc. | Community/Behavioral Health | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2010-07-01 |
| 1194334086 | Melissa Sue Lloyd | Counselor | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2020-07-27 |
| 1598302457 | Sarah Lynn Woolley | Social Worker | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2019-12-10 |
| 1558911438 | Jessica Melford | Social Worker | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2019-09-12 |
| 1144795246 | Talisha Monic Thorpe | Marriage & Family Therapist | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2018-10-04 |
| 1225515752 | Allison Jean Boyke | Counselor | 831 S Brightleaf Blvd, Smithfield, NC 27577-4385 | 2018-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851919047 | Sherwin Cuaresma Bernardino | Physical Therapist | Meadowview Assisted Living Center, 250 Nc-210, Smithfield, NC 27577 | 2020-07-14 |
| 1386297299 | Johnston Opco, LLC | Non-emergency Medical Transport (VAN) | 200 Kellie Dr, Smithfield, NC 27577 | 2019-07-19 |
| 1790255362 | Adrian Brook Taylor | Physical Therapist | 540 North Street, Smithfield, NC 27577 | 2018-11-27 |
| 1497260608 | Providence Healthcare of The Carolinas | Assisted Living Facility | 4302 Hwy Nc 210, Smithfield, NC 27577 | 2017-12-11 |
| 1720593908 | Latorya Delois Moore | Nurse Practitioner | 514 N Brightleaf Blvd Ste 1100, Smithfield, NC 27577 | 2017-12-09 |
| 1124546171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 104 N Brightleaf Blvd, Smithfield, NC 27577 | 2017-08-30 |
| 1316482201 | Providence Pain, Spine & Recovery, Pllc | Anesthesiology | 7 Berkshire Rd, Smithfield, NC 27577 | 2016-12-30 |
| 1407203318 | Linda Pearl Trujillo | Early Intervention Provider Agency | 623 Tralee Dr, Smithfield, NC 27577 | 2016-05-20 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1639537707 | Ralph Edwin Wilson Jr. | Physician Assistant | 100 Kellie Drive, Smithfield, NC 27577 | 2016-02-04 |
| Find all providers in zip 27577 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375404 | Nicole Marie Cascione | Counselor | 40 Woodland Ave, Smithfield, RI 02917-4116 | 2020-08-05 |
| 1336619006 | Carol A. G. Gillen, Lmhc, LLC | Counselor | 28 Cedar Swamp Rd Unit 206, Smithfield, RI 02917-2447 | 2018-11-26 |
| 1942652136 | Jennifer Mary Leighton | Counselor | 25 Higgins St, 201, Smithfield, RI 02917-4007 | 2016-07-12 |
| 1336500206 | Saundra Casey | Counselor | 15 Noble Street, Smithfield, NC 27577 | 2016-03-18 |
| 1881994507 | Marilyn Joanna Lundin | Counselor | 1516 Yelverton Grove Rd, Smithfield, NC 27577-7583 | 2010-10-27 |
| 1396921201 | Restoration Family Services, Inc. | Counselor | 714 Wilkins St, Smithfield, NC 27577 | 2008-01-10 |
| 1023139490 | Jim Tedrow | Counselor | 212 Ridge Street, Smithfield, NC 27577 | 2007-04-03 |
| 1457430845 | Phyllis A Barboza | Counselor | 206 Pinewood Dr, Smithfield, RI 02917-3127 | 2006-11-04 |
| 1255940870 | Nahia Zhaimara Soto | Counselor | 1319 N Brightleaf Blvd Ste F, Smithfield, NC 27577-4876 | 2020-07-29 |
| 1376167510 | Priscilla Hope Berube | Counselor | 28 Cedar Swamp Rd, Smithfield, RI 02917-2447 | 2020-06-03 |
| Find all providers in SMITHFIELD | ||||
| City | SMITHFIELD |
| Zip Code | 27577 |
Please comment or provide details below to improve the information on CAROLINA OUTREACH, LLC.
| 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.