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EPIPHANY FAMILY SERVICES LLC NPI 1255640645


NPI Information

NPI: 1255640645
Provider Name: EPIPHANY FAMILY SERVICES, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 34D2125123

Address:
6900 FARMINGDALE DR
CHARLOTTE, NC
ZIP 28212
Phone: (704) 536-6853
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EPIPHANY FAMILY SERVICES, LLC is a community behavioral health in Charlotte, NC. The provider is 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. EPIPHANY FAMILY SERVICES, LLC NPI is 1255640645. The provider is registered as an organization entity type.

The provider's business location address is:

6900 FARMINGDALE DR
CHARLOTTE, NC
ZIP 28212
Phone: (704) 536-6853
Fax: (704) 536-6045

The provider's authorized official is Katy Millner .
The authorized official title is Operations Officer and has the following contact phone number (704) 536-6853.

The CLIA number assigned to this NPI record is 34D2125123 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/2/2010 and was last updated on 6/29/2021.


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
1251S00000XCommunity/Behavioral HealthYes
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
3261QM0850XClinic/CenterAdult Mental HealthNo
4291U00000XClinical Medical LaboratoryNo
5343900000XNon-emergency Medical Transport (VAN)No
6347C00000XPrivate VehicleNo

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
18303191MEDICAIDNORTH 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.