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CHAD HEARST NPI 1922487024


NPI Information

NPI: 1922487024
Provider Name: CHAD HEARST
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5601 EXECUTIVE CENTER DR
201
CHARLOTTE, NC
ZIP 28212
Phone: (704) 567-0790
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CHAD HEARST 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. CHAD HEARST NPI is 1922487024. The provider is registered as an organization entity type.

The provider's business location address is:

5601 EXECUTIVE CENTER DR
201
CHARLOTTE, NC
ZIP 28212-863
Phone: (704) 567-0790
Fax: (704) 567-8735

The provider's authorized official is Chad Hearst .
The authorized official title is Independent License Social Worker and has the following contact phone number (704) 567-0790.

The enumeration date for this NPI number is 5/21/2015 and was last updated on 8/6/2015.


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 HealthP009234NORTH CAROLINAYes

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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