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KINGSPOINTE BEHAVIORAL HEALTHCARE SERVICES LLC NPI 1477692242


NPI Information

NPI: 1477692242
Provider Name: KINGSPOINTE BEHAVIORAL HEALTHCARE SERVICES, LLC

Former Legal Business Name: KINGSPOINTE ACADEMY, LLC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
201 W MARION ST
SUITE 207
SHELBY, NC
ZIP 28150
Phone: (704) 487-6226
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KINGSPOINTE BEHAVIORAL HEALTHCARE SERVICES, LLC is a community behavioral health in Shelby, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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. KINGSPOINTE BEHAVIORAL HEALTHCARE SERVICES, LLC NPI is 1477692242. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Kingspointe Academy, Llc.

The provider's business location address is:

201 W MARION ST
SUITE 207
SHELBY, NC
ZIP 28150-091
Phone: (704) 487-6226
Fax: (704) 487-6286

The provider's authorized official is Llrae Scott .
The authorized official title is Executivedirectorclinicalservices and has the following contact phone number (704) 487-6226.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 1/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesNo
2101YM0800XCounselorMental Health2260NORTH CAROLINANo
3101YM0800XCounselorMental Health5595NORTH CAROLINANo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-023-046NORTH CAROLINANo
5322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-023-128NORTH CAROLINANo
6322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-055-090NORTH CAROLINANo
7322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-055-091NORTH CAROLINANo
8251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16603801MEDICAIDNORTH CAROLINA
26604075MEDICAIDNORTH CAROLINA
38300864BMEDICAIDNORTH CAROLINA
46005943MEDICAIDNORTH CAROLINA
56603802MEDICAIDNORTH CAROLINA
63418018MEDICAIDNORTH CAROLINA
78300864MEDICAIDNORTH CAROLINA
88300864GMEDICAIDNORTH CAROLINA
96604071MEDICAIDNORTH CAROLINA
108300864HMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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