PIEDMONT BEHAVIORAL RESOURCES INC. NPI 1366699449

NPI Information

  • NPI: 1366699449
  • Provider Name: PIEDMONT BEHAVIORAL RESOURCES, INC.
  • Classification: Day Training, Developmentally Disabled Services - 251C00000X
  • Entity Type: Organization
  • Address: 201 W. MARION ST. STE. 207
    SHELBY, NC
    ZIP 28150
  • Phone: (704) 487-6226

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NPI Details

PIEDMONT BEHAVIORAL RESOURCES, INC. is a day training developmentally disabled services in Shelby, NC. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PIEDMONT BEHAVIORAL RESOURCES, INC. NPI is 1366699449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 W. MARION ST. STE. 207
SHELBY, NC
ZIP 28150
Phone: (704) 487-6226
Fax: (704) 487-6286

The provider's authorized official is Tanzy Barrow Wallace .
The authorized official title is Ceo and has the following contact phone number (704) 487-6226.

The enumeration date for this NPI number is 8/20/2008 and was last updated on 3/26/2013.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)229NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)MHL-023-148NORTH CAROLINANo
3101YA0400XCounselorAddiction (Substance Use Disorder)1135NORTH CAROLINANo
4101YA0400XCounselorAddiction (Substance Use Disorder)366NORTH CAROLINANo
5101YM0800XCounselorMental HealthNo
6101YP2500XCounselorProfessional5595NORTH CAROLINANo
7251S00000XCommunity/Behavioral HealthNo
8322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-023-046NORTH CAROLINANo
9251C00000XDay Training, Developmentally Disabled ServicesNORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16006639MEDICAIDNORTH CAROLINA
28302555QMEDICAIDNORTH CAROLINA
38302555MEDICAIDNORTH CAROLINA
43418626MEDICAIDNORTH CAROLINA
56604390MEDICAIDNORTH CAROLINA
66603420MEDICAIDNORTH CAROLINA
76604374MEDICAIDNORTH 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: 11/21/2025

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