CENTERSTONE OF TENNESSE INC.


Address: 3505 Village Dr, Fayetteville, NC 28304-4513
Phone: 6154636669

CENTERSTONE OF TENNESSE INC. (NPI# 1609482439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609482439
Entity Type Organization
Organization Name CENTERSTONE OF TENNESSE INC.
Practice Address 3505 Village Dr
Fayetteville
NC 28304-4513
Mailing Address Po Box 197520
Nashville
TN 37219-7520
Practice Telephone 6154636669
Practice Fax Number 6156536506
Mailing Telephone 6154636669
Mailing Fax Number 6156536506
Enumeration Date 2020-09-17
Last Update Date 2020-09-17
Authorized Official Name KAREN LYNETTE KEENE (SECURITY OFFICER, IT TECHNOLOGY SUP)
Authorized Official Telephone 6154636523
Is Organization Subpart Y
Parent Organization Name CENTERSTONE OF TENNESSE INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Centerstone Fayettville NC Clinic Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144836982 Centerstone of Tennesse Inc. Clinic/Center 7011 A C Skinner Pkwy, Jacksonville, FL 32256-6954 2020-09-17
1023380706 Centerstone of Tennesse Inc. Case Management 1222 Medical Center Dr, Columbia, TN 38401-6402 2012-01-27

Office Location

Street Address 3505 VILLAGE DR
City FAYETTEVILLE
State NC
Zip Code 28304-4513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1639186240 Sylvester Unchenna Ejeh Specialist 3505 Village Dr, Fayetteville, NC 28304-4553 2006-08-03
1114527546 Towania Caldwell Counselor 3505 Village Dr, Fayetteville, NC 28304-4513 2020-10-26
1104423284 Deandra Michelle Parker Case Manager/Care Coordinator 3505 Village Dr, Fayetteville, NC 28304-4513 2020-10-02
1134747447 Marfa Merlin Nicanor Social Worker 3505 Village Dr, Fayetteville, NC 28304-4513 2020-07-13
1578189734 Mary Therese Martin Social Worker 3505 Village Dr, Fayetteville, NC 28304-4513 2020-06-23
1881164721 Chanon Vanice Robinson Social Worker 3505 Village Dr, Fayetteville, NC 28304-4513 2018-12-04
1083109995 Valley Behavioral Health LLC Psychiatry & Neurology 3505 Village Dr, Fayetteville, NC 28304-4513 2018-06-25
1114479839 Kami Annette Perez Counselor 3505 Village Dr, Fayetteville, NC 28304-4513 2016-10-28
1255636031 Teresita Claret Ruoff Physician Assistant 3505 Village Dr, Fayetteville, NC 28304-4553 2011-01-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1538621602 A New Beginning for Families Inc Clinic/Center 500 Lanier Ave W Ste Aoffice7, Fayetteville, GA 30214-7636 2019-04-05
1386920049 Point Momentum, P.l.l.c. Clinic/Center 4257 Gabel Drive, Fayetteville, AR 72703 2011-10-26
1669606448 Sunrise Specialty Clinic Clinic/Center 709 Hay St, Fayetteville, NC 28301-5423 2009-05-08
1073647392 Professional Family Care Services, Inc. Clinic/Center 350 Wagoner Dr, Suite 103, Fayetteville, NC 28303-4678 2007-03-16
1811032022 S & T Wecare Community Support Clinic/Center 401 Offing Dr, Fayetteville, NC 28314-1043 2007-02-21
1063564003 Unity Home Care, Inc Clinic/Center 211 Fairway Dr, Suite, Fayetteville, NC 28305-5571 2007-01-18
1104882547 Northwest Counseling & Social Work Services, Inc Clinic/Center 111 E Davidson St, Fayetteville, AR 72701-3413 2006-04-25
1558978858 Day By Day: A Center for Health and Healing Clinic/Center 215 N East Ave Ste 102, Fayetteville, AR 72701-5296 2020-09-30
1609427129 Genesis Balance Counseling, Pllc Clinic/Center 2525 Raeford Rd Ste A, Fayetteville, NC 28305-5092 2019-09-25
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Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

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.

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