CAROLINA OUTREACH, LLC
NPI 1710687967
Community/Behavioral Health in Charlotte, NC

Active since March 07, 2023
2508 APRIL LIU LN APT 311, CHARLOTTE, NC 28213(704) 332-8787 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carolina Outreach, Llc NPPES

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

CAROLINA OUTREACH, LLC (NPI 1710687967) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since March 2023. The organization lists James Mitchell Vedder, Cfo, as its authorized official.

NPPES Registry Identity

NPI1710687967
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameCAROLINA OUTREACH, LLC
Location Address2508 APRIL LIU LN APT 311Charlotte, NC 28213-6966
Mailing Address2670 Durham Chapel Hill BlvdDurham, NC 27707-2829 · (720) 402-2296
Organization SubpartYes
Authorized OfficialJames Mitchell VedderCfo · (703) 844-1007
Enumeration DateMarch 7, 2023
NPPES CertifiedMarch 6, 2023
NPI 1710687967 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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X
2508 APRIL LIU LN APT 311, Charlotte, NC 28213

Other Identifiers 1

Medicaid08300219NC

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 Carolina Outreach, LLC's NPI number?

The NPI number for Carolina Outreach, LLC is 1710687967. It was assigned to this organization in the NPPES registry on March 7, 2023.

Where is Carolina Outreach, LLC located?

Carolina Outreach, LLC is located at 2508 April Liu Ln Apt 311, Charlotte, NC 28213. The listed phone number is (704) 332-8787.

What is Carolina Outreach, LLC'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 Carolina Outreach, LLC was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.