SHIRLEY'S ENRICHMENT HOUSE LLC NPI 1104742790

NPI Information

  • NPI: 1104742790
  • Provider Name: SHIRLEY'S ENRICHMENT HOUSE, LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Address: 169 TACKLE BOX DR
    TROUTMAN, NC
    ZIP 28166
  • Phone: (704) 291-1454

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NPI Details

SHIRLEY'S ENRICHMENT HOUSE, LLC is a community based residential treatment facility mental illness in Troutman, NC. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. SHIRLEY'S ENRICHMENT HOUSE, LLC NPI is 1104742790. The provider is registered as an organization entity type.

The provider's business location address is:

169 TACKLE BOX DR
TROUTMAN, NC
ZIP 28166-140
Phone: (704) 291-1454

The provider's authorized official is Chrystal Guinyard .
The authorized official title is Executive Director and has the following contact phone number (704) 291-1454.

The enumeration date for this NPI number is 6/26/2026 and was last updated on 6/26/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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