Surrender House of Lincolnton, Inc

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

MHL055106 Issued in NC

Legal business name

SURRENDER HOUSE OF LINCOLNTON, INC

Practice address

322 McBee St
Lincolnton, NC 28092-2819

Phone

(704) 748-9906

NPI assigned

May 27, 2008

Last updated

May 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Linda Lee Shaffer, BS, QSAP, SAC-I

Title

Executive Director

Phone

(704) 748-9906

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1205094349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1992",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931992",
            "telephone_number": "704-748-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 MCBEE ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280922819",
            "telephone_number": "704-748-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURRENDER HOUSE OF LINCOLNTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-748-9906",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, QSAP, SAC-I"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL055106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Marion Stone III, DPT
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• Brian J. Sutton, M.D.
• Jenny L Sweigard, M.D.
• John Dock Tallent, DDS
• Joshua Tallent, M.A, ED.S, LPC, NCC
• Tarheel Guardian Care

• Substance Abuse Rehabilitation Facility in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.