Organization Active NPI

Infinite Family Counseling Service, LLC

  • Community/Behavioral Health Agency
  • Statesville, NC
National Provider Identifier
1124747092
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
INFINITE FAMILY COUNSELING SERVICE, LLC
Practice address
211 S Center St Ste 117
Statesville, NC 28677-5873
Phone
(704) 605-9400
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Dwayne Robinson
Title
Ceo
Phone
(704) 605-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

211 S Center St Ste 117
Statesville, NC 28677-5873

Mailing address

211 S Center St Ste 117
Statesville, NC 28677-5873
Phone (704) 605-9400

National Provider Directory

National Provider Directory

Locations

211 S Center St
Ste 117
Statesville, NC 28677
Phone (704) 605-9400

NPI Registry JSON

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

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1124747092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 S CENTER ST STE 117",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775873",
            "telephone_number": "704-605-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S CENTER ST STE 117",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775873",
            "telephone_number": "704-605-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITE FAMILY COUNSELING SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-605-9400"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; 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.