Village Life Cathedral, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VILLAGE LIFE CATHEDRAL, INC

Practice address

1619 W Ward Ave
High Point, NC 27260-1535

Phone

(336) 882-0025

NPI assigned

Jun 9, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Darryl McCarroll, LCSW

Title

Clinical Director

Phone

(336) 987-0333

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1144904343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 W WARD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601535",
            "telephone_number": "336-882-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 W WARD AVE",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272601535",
            "telephone_number": "336-882-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE LIFE CATHEDRAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-09",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "MCCARROLL",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "336-987-0333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl Vehs, PHARMD
• Gretchen Yazmine Velazquez, MD
• Heather Dawn Venoy, RD, LD, CDE
• Cynthia K Vertefeuille, ANP-C
• Village Care and Support LLC
• Vincent L. Brooks DDS,PA
• Elizabeth O'Hare Vinci, CCC-SLP
• Virgil V. Willard, II MD PA
• Kelly Adair Virgil, NP
• Vivid Life Nutrition, LLC

• Community/Behavioral Health Agency in High Point, NC
• Providers in High Point, 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 Jun 20, 2023; 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.