CORNUCOPIA WELLNESS GROUP, LLC (NPI# 1871029595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871029595 |
| Entity Type | Organization |
| Organization Name | CORNUCOPIA WELLNESS GROUP, LLC |
| Practice Address |
115 E Harden St Suite 105 Graham NC 27253-3001 |
| Practice Telephone | 9198085540 |
| Mailing Telephone | 9198085540 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2017-05-02 |
| Authorized Official Name | MS. TIFFANY GARRIS (DIRECTOR) |
| Authorized Official Telephone | 9198085540 |
| Authorized Official Credential | LCAS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
115 E HARDEN ST SUITE 105 |
| City | GRAHAM |
| State | NC |
| Zip Code | 27253-3001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689109654 | Endless Alternatives, Pllc | Community/Behavioral Health | 115 E Harden St, Suite 103, Graham, NC 27253-3001 | 2017-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487065918 | Matthew Patrick Ellison | Dentist | 150 West Crescent Square Dr., Graham, NC 27253 | 2014-05-19 |
| 1699057158 | Edna Koko Zamparelli | Pharmacist | 901 South Main St, Graham, NC 27253 | 2011-09-12 |
| 1033429410 | Jennifer Blair Thompson | Pharmacist | 401 S. Main Street, Graham, NC 27253 | 2010-10-19 |
| 1205005105 | Woodard Eye Care Od Pllc | Optometrist | Woodard Eye Care, 304 S Main St, Graham, NC 27253 | 2008-02-25 |
| 1538288063 | David Bower | Physical Therapy Assistant | Rehab & Healthcare Center of Alamance, 779 Woody Dr, Graham, NC 27253 | 2007-03-28 |
| 1255435962 | Don W Noah | Chiropractor | 207 North Marshall Street, Graham, NC 27253 | 2006-09-12 |
| 1871504241 | Jennifer S Gordy | Social Worker | 200 N Main St Fl 3, Graham, NC 27253 | 2006-08-11 |
| 1740210103 | Jody Paul Wallace | Dentist | 2148 Highway 54, Graham, NC 27253 | 2006-07-03 |
| 1457397192 | Graham Urgent Care Pa | Clinic/Center | 217 East Elm St, Graham, NC 27253 | 2006-06-21 |
| 1053361931 | Lee Hall Worthington | Counselor | 5628 Old Cherokee Ln, Graham, NC 27253 | 2006-05-11 |
| Find all providers in zip 27253 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689109654 | Endless Alternatives, Pllc | Community/Behavioral Health | 115 E Harden St, Suite 103, Graham, NC 27253-3001 | 2017-04-26 |
| 1023404787 | Universal Mental Health Services, Inc. | Community/Behavioral Health | 1030 Sycamore Rd, Apartment M, Graham, NC 27253-2549 | 2015-04-09 |
| 1366674459 | Rise Enrichment Services | Community/Behavioral Health | 205b W Hanover Rd, Graham, NC 27253-1723 | 2009-08-22 |
| 1548552961 | Integrative Services of The Carolinas LLC | Community/Behavioral Health | 156 S Main St, Graham, NC 27253-2808 | 2011-05-03 |
| 1134428873 | Tranquility | Community/Behavioral Health | 205b W Hanover Rd, Graham, NC 27253-1723 | 2011-03-21 |
| 1205074325 | Atlantic Family Services LLC | Community/Behavioral Health | 150 S Main St, Graham, NC 27253-2808 | 2009-01-27 |
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| 1225640188 | Flovi of Nc Inc. | Community/Behavioral Health | 1916 Sunset Ave, Rocky Mount, NC 27804-2520 | 2020-08-20 |
| 1275145658 | Next Level Counseling, Pllc | Community/Behavioral Health | Tele-therapy Only, Cary, NC 27511 | 2020-08-18 |
| 1023628872 | Jonathan Mccrary | Community/Behavioral Health | 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 | 2020-08-06 |
| 1841809746 | Ryan's Place, LLC | Community/Behavioral Health | 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
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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.