Wings of a Butterfly Psychosocial Rehab Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WINGS OF A BUTTERFLY PSYCHOSOCIAL REHAB CENTER

Practice address

4246 Westerly CT
Elm City, NC 27822-8789

Phone

(252) 343-5246

NPI assigned

Apr 10, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly D Herndon, CEONPI 1710828710

Title

Ceo

Phone

(252) 343-5246

Specialties & licenses 1

Addresses

Other names 2

• WINGS OF A BUTTERFLY PSYCHOSOCIAL REHAB CENTER Doing business as
• Wings of ButterfyPsychosocial Rehab Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Denise Herndon, PEER SUPPORT

  • Peer Specialist
  • Elm City, NC
  • NPI 1710828710
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744329600000",
    "number": "1073308151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4246 WESTERLY CT",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228789",
            "telephone_number": "252-343-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4246 WESTERLY CT",
            "city": "ELM CITY",
            "state": "NC",
            "postal_code": "278228789",
            "telephone_number": "252-343-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF A BUTTERFLY PSYCHOSOCIAL REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A",
        "authorized_official_last_name": "HERNDON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-343-5246",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINGS OF A BUTTERFLY PSYCHOSOCIAL REHAB CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wings of ButterfyPsychosocial Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hilary Paige Patterson, DMD
• Louise B Peele, PNP
• Nichelle Strickland, LCMHC, NCC
• Annette Thomas
• Wilson Medical Center
• Wings of a Butterfly, LLC

• Community/Behavioral Health Agency in Elm City, NC
• Providers in Elm City, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.