JODI PROVINCE COUNSELING SERVICES PLLC - NPI 1710366687 - Community/Behavioral Health in State Road, NC

Q: What is Jodi Province Counseling Services PLLC's specialty?

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

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About Jodi Province Counseling Services Pllc NPPES

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

JODI PROVINCE COUNSELING SERVICES PLLC (NPI 1710366687) is a healthcare organization registered as a community/behavioral health in State Road, North Carolina and active in the NPI registry since May 2015. The organization lists Jodi Tilley Province, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1710366687

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameJODI PROVINCE COUNSELING SERVICES PLLC

Location Address2587 PLEASANT RIDGE RDState Road, NC 28676-9318

Mailing Address1260 College Ave, Suite 1Wilkesboro, NC 28697-2700 · (336) 526-0073 · Fax (336) 526-0036

Phone(336) 818-0733

Organization SubpartNo

Authorized OfficialJodi Tilley ProvinceExecutive Director · (336) 818-0733

Enumeration DateMay 26, 2015

Last NPPES UpdateJuly 27, 20232 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1710366687 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 ListedCounselor · ProfessionalTaxonomy 101YP2500X

2587 PLEASANT RIDGE RD, State Road, NC 28676

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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

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 Jodi Province Counseling Services PLLC's NPI number?

The NPI number for Jodi Province Counseling Services PLLC is 1710366687. It was assigned to this organization in the NPPES registry on May 26, 2015.

Where is Jodi Province Counseling Services PLLC located?

Jodi Province Counseling Services PLLC is located at 2587 Pleasant Ridge Rd, State Road, NC 28676. The listed phone number is (336) 818-0733.

What is Jodi Province Counseling Services PLLC'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 Jodi Province Counseling Services PLLC was last updated on July 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.