Active NPI
Setfreesoldiers, Inc
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
National Provider Identifier
1154964062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- SETFREESOLDIERS, INC
- Practice address
- 4900 Providence Rd
Charlotte, NC 28226-5848 - Phone
- (704) 593-6550
- NPI assigned
- Oct 23, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lee Thrasher
- Title
- Treasurer
- Phone
- (704) 593-6550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
4900 Providence Rd
Charlotte, NC 28226-5848
Mailing address
4900 Providence Rd
Charlotte, NC 28226-5848
Phone (704) 593-6550
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | mail.prcoc.org | Direct |
National Provider Directory
National Provider DirectoryLocations
4900 Providence Rd
Charlotte, NC 28226
Phone (704) 593-6550
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Charlotte, NC
- NPI 1871136507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1154964062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 PROVIDENCE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282265848",
"telephone_number": "704-593-6550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 PROVIDENCE RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282265848",
"telephone_number": "704-593-6550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SETFREESOLDIERS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "THRASHER",
"authorized_official_first_name": "LEE",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "704-593-6550",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "mail.prcoc.org",
"affiliation": "N",
"endpointDescription": "Email server",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "4900 Providence Rd",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282265848",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.