CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC (NPI# 1376073957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376073957 |
| Entity Type | Organization |
| Organization Name | CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC |
| Practice Address |
901 Old Mars Hill Hwy Ste 3 Weaverville NC 28787 |
| Mailing Address |
55 Beattie Pl Ste 810 Greenville SC 29601-2191 |
| Practice Telephone | 8286453687 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2018-06-06 |
| Authorized Official Name | DR. RUPERT J. MCCORMAC IV (PRESIDENT) |
| Authorized Official Telephone | 8645273145 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM2800X |
Clinic/Center Specialization: Methadone Clinic |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
NC | Ambulatory Health Care Facilities |
| Street Address |
901 OLD MARS HILL HWY STE 3 |
| City | WEAVERVILLE |
| State | NC |
| Zip Code | 28787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396196846 | Kelli Revels | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787 | 2016-06-27 |
| 1306470026 | Stefanie Robinson | Registered Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2020-03-03 |
| 1760039598 | Candace Lynn Townsend | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-08-26 |
| 1336607001 | Hannah Clark | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-03-12 |
| 1306304043 | Patrice A Boudreaux | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2019-03-12 |
| 1265920599 | Emily Wright | Licensed Practical Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1922596253 | Wendy Mcetyre | Licensed Practical Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1649768987 | Erika Harrison | Licensed Practical Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1689162927 | Daniel Cawby | Counselor | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| 1356839690 | Chelsa Thompson | Registered Nurse | 901 Old Mars Hill Hwy Ste 3, Weaverville, NC 28787-8628 | 2018-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134691389 | Fine Psychological Associates,pa | Psychologist | 392 Dula Springs Rd, Weaverville, NC 28787 | 2018-12-28 |
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
| 1417294992 | Jane Adams Crowe | Pharmacist | 121 Monticello Rd., Weaverville, NC 28787 | 2013-01-03 |
| 1669724233 | Sisters of Mercy Urgent Care, Inc | Durable Medical Equipment & Medical Supplies | 61 Weaver Blvd Ste 105, Weaverville, NC 28787 | 2012-10-08 |
| 1821347246 | Michael Forrest Mcguire | Counselor | 1057 Lower Flat Creek Road, Weaverville, NC 28787 | 2012-08-30 |
| 1730445909 | Mary Elizabeth Hemphill | Speech-Language Pathologist | 975 Reems Creek Road, Weaverville, NC 28787 | 2012-04-02 |
| 1467724633 | Ann Stuart | Veterinarian | 68 North Main Street, Weaverville, NC 28787 | 2012-02-03 |
| 1174829865 | Melissa Mcminn | Counselor | 901 Old Mars Hill Hwy, Weaverville, NC 28787 | 2011-01-28 |
| 1245557487 | Michael Barry Beckerman | Optometrist | 6 Weaverville Plaza, Weaverville, NC 28787 | 2010-04-28 |
| 1558595462 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 146 Monticello Rd, Weaverville, NC 28787 | 2009-05-06 |
| Find all providers in zip 28787 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757438 | Mountainview Recovery, Inc | Clinic/Center | 108 Monticello Rd Ste 400, Weaverville, NC 28787 | 2018-04-17 |
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|---|---|---|---|---|
| 1265047369 | The Blanchard Institute | Clinic/Center | 19902 N Cove Rd, Cornelius, NC 28031-6571 | 2020-09-15 |
| 1841816006 | Totten Therapeutic Services, Pllc | Clinic/Center | 5874 Faringdon Pl, Raleigh, NC 27609-3932 | 2020-06-23 |
| 1710527767 | New Leaf Center, LLC | Clinic/Center | 4195 W Us Highway 64 Ste 2, Murphy, NC 28906-8112 | 2020-01-07 |
| 1194372029 | Northstar Clinical Services | Clinic/Center | 322 Lamar Ave Ste 220, Charlotte, NC 28204-2436 | 2019-08-26 |
| 1679041362 | Oasis Recovery Centers, Inc | Clinic/Center | 191 Charlotte St # 200, Asheville, NC 28801-1938 | 2018-11-11 |
| 1225503527 | Recovery Center of North Carolina, LLC | Clinic/Center | 1806 N Aspen St, Lincolnton, NC 28092-6303 | 2018-10-12 |
| 1538648944 | Morehead City Treatment Center, LLC | Clinic/Center | 403 N 35th St, Morehead City, NC 28557-3107 | 2018-08-08 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1093226110 | Promises12 Ltd LLC | Clinic/Center | 35 Means Ave Se, Concord, NC 28025-3563 | 2017-10-16 |
| 1205365574 | Western Wake Treatment Center | Clinic/Center | 2172 N. Salem Street, Suite 105, Apex, NC 27523 | 2017-06-08 |
| Find all providers with the same taxonomy | ||||
| City | WEAVERVILLE |
| Zip Code | 28787 |
Please comment or provide details below to improve the information on CROSSROADS TREATMENT CENTER OF WEAVERVILLE, PC.
| 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.