COMMUNITY WELLNESS PARTNERS OF NC PLLC (NPI# 1831567676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831567676 |
| Entity Type | Organization |
| Organization Name | COMMUNITY WELLNESS PARTNERS OF NC PLLC |
| Other Organization Name | SWTC- SHELBY PAIN CLINIC |
| Practice Address |
809 N Lafayette St Suite A Shelby NC 28150 |
| Mailing Address |
809 N Lafayette St Suite A Shelby NC 28150-3978 |
| Practice Telephone | 7042840554 |
| Practice Fax Number | 7044482003 |
| Mailing Telephone | 7042840554 |
| Mailing Fax Number | 7044482003 |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2020-10-08 |
| Authorized Official Name | MICHELE CHRISTINE BLACKMAN (OWNER) |
| Authorized Official Telephone | 7042840554 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | 8013A | NC | Behavioral Health & Social Service Providers |
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 173C00000X | Reflexologist | Other Service Providers | ||
| N | 175F00000X | Naturopath | Other Service Providers | ||
| N | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Shelby Wellness & Therapy Center | Doing Business As Name - Organization |
| SWTC- Shelby Pain Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1019 N Lafayette St # 2, Shelby, NC 281503746 | 7042840554 | |
| 1446 E Gaston St Ste 101, Lincolnton, NC 280924441 | 7049605052 | 7044482003 |
| 16511 Northcross Dr Ste A, Huntersville, NC 280785021 | 7042840554 | |
| 417 W Warren St Ste A, Shelby, NC 281505368 | 7042840554 | 7044482003 |
| 527 Brookdale Dr, Statesville, NC 286774107 | 7042840554 | 7044482003 |
| 530 E Main St, Lincolnton, NC 280923410 | 7042840554 |
| Street Address |
809 N LAFAYETTE ST SUITE A |
| City | SHELBY |
| State | NC |
| Zip Code | 28150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184666240 | Nancy Ann Bailey | Counselor | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2006-06-12 |
| 1144856899 | Santana Akeem Whisnant | Social Worker | 809 N Lafayette St, Shelby, NC 28150-3978 | 2020-03-13 |
| 1497380869 | Sejal S Rathod | Marriage & Family Therapist | 809 N Lafayette St, Shelby, NC 28150-3978 | 2020-03-06 |
| 1225529647 | Nicole Elizabeth Fallon Sales | Counselor | 809 N Lafayette St, Shelby, NC 28150-3978 | 2018-05-21 |
| 1316461924 | Joseph Randolph Carlton | Marriage & Family Therapist | 809 N Lafayette St, Shelby, NC 28150-3978 | 2017-07-26 |
| 1629502869 | Kimberly Ann Whalen | Marriage & Family Therapist | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2017-04-14 |
| 1114386695 | Candice Dyer | Specialist | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2016-02-12 |
| 1225387376 | Michele Christine Blackman | Marriage & Family Therapist | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2012-09-05 |
| 1881997674 | Restoration Concepts, Inc. | Community/Behavioral Health | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2010-12-16 |
| 1881900108 | Restoration Concepts, Inc. | Case Management | 809 N Lafayette St, Suite A, Shelby, NC 28150-3978 | 2010-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154981652 | Benjamin Caple | Dentist | 139 W Ross Grove Rd, Shelby, NC 28150 | 2019-06-17 |
| 1003471103 | Anne Marie Lackey | Physician Assistant | 215 Stacey Street, Lawndale, NC 28150 | 2019-05-03 |
| 1174001937 | Allstate Medical Equipment & Supplies | Durable Medical Equipment & Medical Supplies | 607 W Grover St, Shelby, NC 28150 | 2018-08-03 |
| 1013494970 | Shannon Bumgardner Standish | Nurse Practitioner | 1019 N Lafayette Street, Suite 1, Shelby, NC 28150 | 2018-07-24 |
| 1205323078 | Focused Care, Inc | Community/Behavioral Health | 834 Churchill Dr, Shelby, NC 28150 | 2018-04-17 |
| 1508373507 | Janelle Marie Velasco | Acupuncturist | 115 E Sumter St, Shelby, NC 28150 | 2017-12-29 |
| 1902344666 | Georgette Johnson | Durable Medical Equipment & Medical Supplies | 607 West Grover Street, Shelby, NC 28150 | 2017-02-02 |
| 1457703126 | Sweet Caroline Assisted Living LLC | Assisted Living Facility | 110 Greene Drive, Shelby, NC 28150 | 2016-07-06 |
| 1972954113 | Self Determination, LLC | Community Based Residential Treatment Facility, Mental Illness | 423 Millsap Rd, Shelby, NC 28150 | 2016-06-29 |
| 1306217666 | Living Family Supportive Services | Clinic/Center | 2538 West Dixon Blvd., Shelby, NC 28150 | 2015-10-13 |
| Find all providers in zip 28150 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235763020 | Heather Dawn Stover | Counselor | 1300c Gidney St, Shelby, NC 28150-6822 | 2020-03-02 |
| 1043841943 | Hannah Edwardson | Counselor | 117 W Marion St, Shelby, NC 28150-5331 | 2020-01-29 |
| 1942861356 | Marie Celeste Franklin | Counselor | 1243 E Dixon Blvd Ste 3, Shelby, NC 28152-6893 | 2019-06-26 |
| 1730697475 | Inner Healing Solutions, Incorporated | Counselor | 2225 Kings Rd, Shelby, NC 28150-6212 | 2018-01-16 |
| 1992169650 | Yolanda Hall Asbell | Counselor | 331 S Washington St Ste 203, Shelby, NC 28150-5450 | 2016-04-08 |
| 1366823411 | Alyssa Gardner | Counselor | 3016 G B Blanton Rd, Shelby, NC 28152-8431 | 2015-06-15 |
| 1982002614 | Gillian Aloisia Squillacioti | Counselor | 1635 S Dekalb St, Apt 109, Shelby, NC 28152 | 2014-12-11 |
| 1003239898 | Deneen Valerie Norman | Counselor | 232 S Lafayette St, Shelby, NC 28150-2308 | 2014-01-29 |
| 1982033957 | Corrie Gerster | Counselor | 49 Louise Dr, Shelby, OH 44875-1817 | 2013-11-11 |
| 1174958383 | Linda Page | Counselor | 312 North Toney St., Shelby, NC 28152-0898 | 2013-09-06 |
| Find all providers in SHELBY | ||||
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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.