612 BEHAVIORAL AND COMMUNITY SERVICES
NPI 1336333129
Community/Behavioral Health in Gastonia, NC

Q: What is 612 Behavioral And Community Services's specialty?

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

Active since September 05, 2007

2559 QUAIL RIDGE DR, GASTONIA, NC 28056(704) 674-5455 Get Directions Write a Review

NPPES record last updated: September 5, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About 612 Behavioral And Community Services NPPES

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

612 BEHAVIORAL AND COMMUNITY SERVICES (NPI 1336333129) is a healthcare organization registered as a community/behavioral health in Gastonia, North Carolina and active in the NPI registry since September 2007. The organization lists Demise Lamaar Williams, Ceo, as its authorized official.

NPPES Registry Identity

NPI1336333129

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business Name612 BEHAVIORAL AND COMMUNITY SERVICES

Location Address2559 QUAIL RIDGE DRGastonia, NC 28056-9205

Mailing Address2559 Quail Ridge DrGastonia, NC 28056-9205 · (704) 674-5455

Phone(704) 674-5455

Organization SubpartNo

Authorized OfficialDemise Lamaar WilliamsCeo · (704) 674-5455

Enumeration DateSeptember 5, 2007

✔ NPI 1336333129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

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.

2559 QUAIL RIDGE DR, Gastonia, NC 28056

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Other Providers at the Same Location NPPES 2

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

PRO KIDS YOUTH AND FAMILY SERVICE

Community Based Residential Treatment Facility, Mental Illness

2559 QUAIL RIDGE DR
GASTONIA, NC 28056

Gaston County (704) 674-5455

PRO KIDS YOUTH AND FAMILY SERVICE

Case Management

2559 QUAIL RIDGE DR
GASTONIA, NC 28056

Gaston County (704) 674-5455

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 612 Behavioral And Community Services's NPI number?

The NPI number for 612 Behavioral And Community Services is 1336333129. It was assigned to this organization in the NPPES registry on September 5, 2007.

Where is 612 Behavioral And Community Services located?

612 Behavioral And Community Services is located at 2559 Quail Ridge Dr, Gastonia, NC 28056. The listed phone number is (704) 674-5455.

What is 612 Behavioral And Community Services's specialty?

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

When was this NPI record last updated?

The NPPES record for 612 Behavioral And Community Services was last updated on September 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.