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CENTER FOR EMOTIONAL HEALTH NPI 1174922348


NPI Information

NPI: 1174922348
Provider Name: CENTER FOR EMOTIONAL HEALTH
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

CLIA Number: 34D2114768

Address:
640 SUMMIT CROSS PLACE
SUITE 203
GASTONIA, NC
ZIP 28054
Phone: (704) 237-4240
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CENTER FOR EMOTIONAL HEALTH is an addiction psychiatry psychiatry neurology in Gastonia, NC. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. CENTER FOR EMOTIONAL HEALTH NPI is 1174922348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

640 SUMMIT CROSS PLACE
SUITE 203
GASTONIA, NC
ZIP 28054
Phone: (704) 237-4240

The provider's authorized official is Jonathan K Stoudmire .
The authorized official title is President/owner and has the following contact phone number (704) 237-4240.

The CLIA number assigned to this NPI record is 34D2114768 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/14/2014 and was last updated on 9/24/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0802XPsychiatry & NeurologyAddiction Psychiatry200500827NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15900927MEDICAIDNORTH CAROLINA

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: 11/14/2023

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