BREAD OF LIFE YOUTH & FAMILY SERVICES
NPI 1699900431
Community/Behavioral Health in Charlotte, NC

Active since May 22, 2009
4401 E INDEPENDENCE BLVD STE 201B, CHARLOTTE, NC 28205(704) 248-0500 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bread Of Life Youth & Family Services NPPES

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

BREAD OF LIFE YOUTH & FAMILY SERVICES (NPI 1699900431) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since May 2009. The organization lists Ahmad Blakeney, Owner, as its authorized official.

NPPES Registry Identity

NPI1699900431
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameBREAD OF LIFE YOUTH & FAMILY SERVICES
Location Address4401 E INDEPENDENCE BLVD STE 201BCharlotte, NC 28205-0500
Mailing Address4401 E Independence Blvd Ste 201bCharlotte, NC 28205-0500 · (704) 248-0514
Organization SubpartNo
Authorized OfficialAhmad BlakeneyOwner · (704) 248-0514
Enumeration DateMay 22, 2009
Last NPPES UpdateNovember 5, 2012
NPI 1699900431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedCase ManagementTaxonomy 251B00000X
4401 E INDEPENDENCE BLVD STE 201B, Charlotte, NC 28205

Other Identifiers 2

Medicaid6006916NC
Medicaid8302913HNC

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699900431, enumerated as an "organization" on May 22, 2009.

The provider is located at 4401 E INDEPENDENCE BLVD STE 201B CHARLOTTE, NC 28205 and the phone number is (704) 248-0500.

Community/Behavioral Health with taxonomy code 251S00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.