GASTON ADOLESCENT CENTER, INC.
NPI 1316236458
Community/Behavioral Health in Gastonia, NC

Q: What is Gaston Adolescent Center, Inc.'s NPI number?

The NPI number for Gaston Adolescent Center, Inc. is 1316236458. It was assigned to this organization in the NPPES registry on March 29, 2011.

Q: What is Gaston Adolescent Center, Inc.'s specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since March 29, 2011

635 COX RD STE B, GASTONIA, NC 28054(704) 691-7561(704) 691-7563 Get Directions Write a Review

NPPES record last updated: August 16, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 16, 2018, Jul 23, 2018, Feb 28, 2018 and 1 more (4 updates tracked since 2016).

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About Gaston Adolescent Center, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GASTON ADOLESCENT CENTER, INC. (NPI 1316236458) is a healthcare organization registered as a community/behavioral health in Gastonia, North Carolina and active in the NPI registry since March 2011. The organization maintains a secondary practice location in Gastonia and lists Edward Lawrence Haley, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1316236458

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGASTON ADOLESCENT CENTER, INC.

Location Address635 COX RD STE BGastonia, NC 28054

Mailing Address635 Cox Rd Ste BGastonia, NC 28054-3441 · (704) 691-7561 · Fax (704) 691-7563

Phone(704) 691-7561

Fax(704) 691-7563

Organization SubpartNo

Authorized OfficialEdward Lawrence HaleyPresident/ceo · (704) 585-8017

Enumeration DateMarch 29, 2011

Last NPPES UpdateAugust 16, 20184 updates tracked since enumeration

✔ NPI 1316236458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · MHL-036-274

Definition

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License A14039 (NC)

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License MHL-036-274 (NC)

635 COX RD STE B, Gastonia, NC 28054

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Secondary Practice Location 1

Location 11316 Spencer Mountain RdGastonia, NC 28054-3045 · Phone (704) 824-3012 · Fax (704) 691-7563

Group Practice 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE NICHOLE BLACK LCSWA

Social Worker (Clinical)