NEW RIVER BEHAVVIORAL HEALTHCARE (NEW RIVER SERVICE AUTHORITY) NPI 1013149665

Counselor (Mental Health) in Statesville, NC

NPI 1013149665 Organization Counselor Mental Health

About NEW RIVER BEHAVVIORAL HEALTHCARE (NEW RIVER SERVICE AUTHORITY)

New River Behavvioral Healthcare (new River Service Authority) is a provider established in Statesville, North Carolina specializing in counselor (mental health) . The NPI number of New River Behavvioral Healthcare (new River Service Authority) is 1013149665 and was assigned on August 2009. The practitioner's primary taxonomy code is 101YM0800X with license number MHL-049-108 (NC). The provider is registered as an organization and their NPI record was last updated 12 years ago. New River Behavvioral Healthcare (new River Service Authority) operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as New River Behavvioral Healthcare. The authorized official of this NPI record is Patricia P Andrews (Ceo)

A mental health counselor like New River Behavvioral Healthcare provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.

NPI

1013149665

Provider NameNEW RIVER BEHAVVIORAL HEALTHCARE (NEW RIVER SERVICE AUTHORITY)
Provider Location Address524 SIGNAL HILL DRIVE EXT STATESVILLE, NC 28625
Provider Mailing Address895 STATE FARM RD SUITE 508 BOONE, NC 28607
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameNEW RIVER BEHAVVIORAL HEALTHCARE
Other Name TypeDoing Business As (3)
Enumeration Date08-17-2009
Last Update Date08-17-2009


Primary Taxonomy

Taxonomy Code101YM0800X
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.MHL-049-108
License StateNC

Business Address

NEW RIVER BEHAVVIORAL HEALTHCARE
524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC
ZIP 28625
Phone: (704) 871-1045
Fax: (704) 883-8638

Get Directions


Mailing Address

NEW RIVER BEHAVVIORAL HEALTHCARE
895 STATE FARM RD
SUITE 508
BOONE, NC
ZIP 28607
Phone: (828) 264-9007
Fax: (828) 262-5687



Authorized Official

Authorized Official Name PATRICIA P ANDREWS
Authorized Official TitleCEO
Authorized Official Phone(336) 372-4095

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902175003 LAURIE ROBIN RAFFLES LPN
Individual
Licensed Practical Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1851660054 PETER ROBERT NICHOLAS
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1548539620 ENGLE ASHLEY TILLOTSON
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1912276080 MELISSA WALKER NELSON
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1295004281 JUSTIN GRAY HENDREN
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1649549726 BARBARA JANE MILLSAPS LPN
Individual
Licensed Practical Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1558630632 WILLIAM EUGENE HOWARD
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1467721548 MELINDA MITCHELL VINSON
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1477822401 LORENZO KEITH DEBOSE
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 939-1100
1447516232 MICHELLE ANN MILLER
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1598020117 SHARON HARRISON RN
Individual
Registered Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1578813630 ROY DICKENSON LPN
Individual
Licensed Practical Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1063766046 ANITRA D WHITE LPN
Individual
Licensed Practical Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1962747774 ELIZABETH GREEN
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1992149413 SHERRY WEST RN
Individual
Registered Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1821432337 CHRISTINE SANDERS RN
Individual
Registered Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1184068694 WANDA ADKINS LPN
Individual
Licensed Practical Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1407009673 STEPHANIE GWENETTE CONNOR LPN
Individual
Licensed Practical Nurse524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 883-8637
1700155801 TAMMY L WEISNER PEER SUPPORT SPECIAL
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045
1023440880 AMY STAMPER
Individual
Counselor524 SIGNAL HILL DRIVE EXT
STATESVILLE, NC 28625
(704) 871-1045

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.