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).
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. |
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 Name | Type Code |
---|---|
Centerstone Fayettville NC Clinic | Other Name - Individual/Organization |
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 |
Street Address |
3505 VILLAGE DR |
City | FAYETTEVILLE |
State | NC |
Zip Code | 28304-4513 |
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 |
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 |
Find all providers in zip 28304 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
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---|---|---|---|---|
1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
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 |
Find all providers in FAYETTEVILLE |
City | FAYETTEVILLE |
Zip Code | 28304 |
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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.