FELLOWSHIP HEALTH RESOURCES, INC (NPI# 1679914048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679914048 |
Entity Type | Organization |
Organization Name | FELLOWSHIP HEALTH RESOURCES, INC |
Other Organization Name | CARY SATELLITE HOUSE |
Practice Address |
222 E Chatham St Cary NC 27511-3458 |
Mailing Address |
25 Blackstone Valley Pl Ste 300 Lincoln RI 02865-1184 |
Practice Telephone | 9194694980 |
Practice Fax Number | 9195736555 |
Mailing Telephone | 4013333980 |
Mailing Fax Number | 4013333984 |
Enumeration Date | 2013-07-12 |
Last Update Date | 2013-07-24 |
Authorized Official Name | DEBRA PAUL (PRESIDENT CFO) |
Authorized Official Telephone | 4013333980 |
Is Organization Subpart | Y |
Parent Organization Name | FELLOWSHIP HEALTH RESOURCES, INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
N | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities | ||
N | 251B00000X | Case Management | Agencies | ||
N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities | ||
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MHL-092684 | NC | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Cary Satellite House | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619348083 | Fellowship Health Resources, Inc | Community/Behavioral Health | 412 W Russell St, Fayetteville, NC 28301-5896 | 2015-10-12 |
1619980018 | Fellowship Health Resources, Inc | Community Based Residential Treatment Facility, Mental Illness | 23769 Shortly Rd, Georgetown, DE 19947-4754 | 2006-08-15 |
1245239680 | Fellowship Health Resources, Inc | Clinic/Center | 24 Albion Rd, Suite 420, Lincoln, RI 02865-3311 | 2005-07-19 |
1962950881 | Fellowship Health Resources, Inc | Community/Behavioral Health | 1340 Middleford Rd, Suite 401, Seaford, DE 19973-3665 | 2016-09-20 |
1710334255 | Fellowship Health Resources, Inc | Community/Behavioral Health | 101 Rogers Rd, Wilmington, DE 19801-5778 | 2016-05-14 |
1154762524 | Fellowship Health Resources, Inc | Clinic/Center | 3010 Falstaff Rd, Raleigh, NC 27610-1813 | 2013-07-12 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FELLOWSHIP HEALTH RESOURCES, INC. | 24 Albion Rd Ste 420, Lincoln, RI 02865-3744 |
Massachusetts Corporations | FELLOWSHIP HEALTH RESOURCES, INC. | 25 Blackstone Valley Pl., Lincoln, RI 02865 |
Street Address |
222 E CHATHAM ST |
City | CARY |
State | NC |
Zip Code | 27511-3458 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245534874 | Tamara Dawn Denbesten | Psychologist | 222 E Chatham St, Cary, NC 27511-3458 | 2010-12-22 |
1508403742 | Arthur Klose | Counselor | 222 E Chatham St, Cary, NC 27511-3458 | 2019-12-06 |
1912242199 | Daniel Noah Velez | Counselor | 222 E Chatham St, Cary, NC 27511-3458 | 2012-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730792615 | Jill Manning West | Pharmacy | 118 Mackenan Dr., Suite 200, Cary, NC 27511 | 2020-08-28 |
1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
1801429568 | Cheryl Perozek Reid | Physical Therapist | Brightstar Cary, 102 Commonwealth Court Unit K, Cary, NC 27511 | 2020-02-20 |
1912543075 | Courtney Hansen | Specialist/Technologist | 103 Fountain Brook Circle, D2, Cary, NC 27511 | 2019-11-25 |
1619438512 | Karlianna E.s Williams | Behavior Technician | 111 Mackenan, Cary, NC 27511 | 2019-03-25 |
1992272058 | Best Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 590 E Chatham Street, Ste 108, Cary, NC 27511 | 2018-10-26 |
1275015620 | Edward Michael Sleigh | Marriage & Family Therapist | 110 Iowa Ln, Ste 204, Cary, NC 27511 | 2018-09-02 |
1477044048 | Leonard Deleon | Pharmacist | 1230 Se Maynard Rd # 202, Cary, NC 27511 | 2018-05-19 |
1932699030 | Valerie Hunter Whidbee | Specialist | 139 E Chatham Street, Suite 105, Cary, NC 27511 | 2018-05-14 |
1588153878 | Ashley Horak Gyori | Speech-Language Pathologist | 905 Balmoral Dr, Cary, NC 27511 | 2018-05-02 |
Find all providers in zip 27511 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003375346 | Triangle Wellness & Recovery Pllc | Clinic/Center | 1000 Darrington Dr Ste 204, Cary, NC 27513-8134 | 2019-03-17 |
1083196315 | Relevance Counseling | Clinic/Center | 10 W Main St Ste 201c, Cary, IL 60013-2868 | 2018-09-04 |
1184144586 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 206 High House Rd, Cary, NC 27513-8495 | 2017-06-27 |
1801080882 | Co-creative Healing, Inc. | Clinic/Center | 975 Walnut St Ste 236, Cary, NC 27511-4216 | 2007-08-31 |
1336362763 | David R. Bierman, M.d., P.a. | Clinic/Center | 122 Oak Hill Loop, Cary, NC 27513 | 2007-04-11 |
1780101253 | Renaissance Healthcare Group Raleigh, LLC | Clinic/Center | 206 High House Rd, Cary, NC 27513-8495 | 2017-08-25 |
1710404512 | Renaissance Healthcare Group Raleigh,llc | Clinic/Center | 206 High House Rd, Cary, NC 27513-8495 | 2017-08-23 |
1942575535 | Pamela Hartsfield Pllc | Clinic/Center | 1135 Kildaire Farm Rd, Suite 200, Cary, NC 27511-7608 | 2012-03-14 |
1316118227 | Claudia Y Nunez, Md | Clinic/Center | 256 Towne Village Dr, Cary, NC 27513-8910 | 2008-03-19 |
1639298714 | Regional Psychiatry, Pllc | Clinic/Center | 2000 Regency Pkwy, Suite 280, Cary, NC 27511-8506 | 2007-03-28 |
Find all providers in CARY |
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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.