Active NPI
Achieving Balance at the Farm
- Counselor
- Mooresville, NC
National Provider Identifier
1235511320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- ACHIEVING BALANCE AT THE FARM
- Practice address
- 1915 Coddle Creek Hwy
Mooresville, NC 28115-8248 - Phone
- (704) 763-3796
- NPI assigned
- Jun 24, 2015
- 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
- Stephanie Pennell
- Title
- Owner
- Phone
- (704) 763-3796
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1915 Coddle Creek Hwy
Mooresville, NC 28115-8248
Mailing address
PO Box 1003
Mooresville, NC 28115-1003
Phone (704) 763-3796
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Mooresville, NC
- NPI 1689101032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435104000000",
"number": "1235511320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1003",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281151003",
"telephone_number": "704-763-3796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1915 CODDLE CREEK HWY",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281158248",
"telephone_number": "704-763-3796"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACHIEVING BALANCE AT THE FARM",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-24",
"last_updated": "2015-06-24",
"status": "A",
"authorized_official_last_name": "PENNELL",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "704-763-3796"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.