SOUTHPOINT NPI 1720107733

NPI Information

NPI: 1720107733
Provider Name: SOUTHPOINT
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address: 2352 SOUTHPOINT RD
BELMONT, NC
ZIP 28012
Phone: (704) 825-4161

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NPI Details

SOUTHPOINT is a community behavioral health in Belmont, 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. SOUTHPOINT NPI is 1720107733. The provider is registered as an organization entity type.

The provider's business location address is:

2352 SOUTHPOINT RD
BELMONT, NC
ZIP 28012-790
Phone: (704) 825-4161
Fax: (704) 825-0401

The provider's authorized official is Shannon Childress .
The authorized official title is Vp Of Clinical Services and has the following contact phone number (704) 825-4161.

The enumeration date for this NPI number is 3/29/2007 and was last updated on 8/30/2017.

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
1	311ZA0620X	Custodial Care Facility	Adult Care Home			No
2	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL-036-041	NORTH CAROLINA	No
3	251S00000X	Community/Behavioral Health				Yes

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
1	3408854	MEDICAID	NORTH CAROLINA
2	7802692	MEDICAID	NORTH CAROLINA
3	1619310851	OTHER		STATE FUNDS THROUGH PARTNERS MCO

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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