NEW-LITE LIVING CHOICES TUNSTALL MARVIN GEN PTR
NPI 1114052123
Community/Behavioral Health in Winston Salem, NC
- Organization
- Community/Behavioral Health
About NEW-LITE LIVING CHOICES TUNSTALL MARVIN GEN PTR
This page provides the complete NPI Profile along with additional information for New-lite Living Choices Tunstall Marvin Gen Ptr, a provider established in Winston Salem, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1114052123 assigned on February 2007. The practitioner's primary taxonomy code is 251S00000X with license number 8300407 (NC). The provider is registered as an organization and their NPI record was last updated 17 years ago. New-lite Living Choices Tunstall Marvin Gen Ptr operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Stephanie Foltz Cahoon (Billing Specialist)
- NPI
- 1114052123 Verify this NPI
- Provider Name
- NEW-LITE LIVING CHOICES TUNSTALL MARVIN GEN PTR
- Entity Type
- Organization
- Location Address
- 3634 VEST MILL RD WINSTON SALEM, NC 27103
- Location Phone
- (704) 547-1900
- Mailing Address
- 416 MCCULLOUGH DR SUITE 125 CHARLOTTE, NC 28262
- Mailing Phone
- (704) 547-1900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2007
- Last Update Date
- 02-03-2009
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Community/Behavioral Health
- Taxonomy Code
- 251S00000X
- Type
- Agencies
- License No.
- 8300407
- License State
- NC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | 8300407 (NC) |
| 2 | 251B00000X | Agencies | Case Management | 8300407 (NC) |
| 3 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 6603599 (NC) |
| 4 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 6603600 (NC) |
| 5 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 6603994 (NC) |
| 6 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | |
| 7 | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | 6604265 (NC) |
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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300407 | MEDICAID (05) | NC | |
| 8300407H | MEDICAID (05) | NC | |
| 8300407G | MEDICAID (05) | NC |
Reviews for NEW-LITE LIVING CHOICES TUNSTALL MARVIN GEN PTR
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114052123, enumerated as an "organization" on February 22, 2007.
The provider is located at 3634 VEST MILL RD WINSTON SALEM, NC 27103 and the phone number is (704) 547-1900.
Community/Behavioral Health with taxonomy code 251S00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
