Blissfully Supported LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BLISSFULLY SUPPORTED LLC

Practice address

645 Dunbrook LN
Charlotte, NC 28217-3405

Phone

(980) 474-9219

NPI assigned

Oct 11, 2019

Last updated

Oct 11, 2019By 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

Arteeca Eccles

Title

Owner

Phone

(980) 474-9219

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1255973210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 DUNBROOK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173405",
            "telephone_number": "980-474-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 DUNBROOK LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173405",
            "telephone_number": "980-474-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISSFULLY SUPPORTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "ECCLES",
        "authorized_official_first_name": "ARTEECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-474-9219"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Bliss
• Blissful Counseling & Consulting, PLLC
• Blissful Living Senior Care Inc
• Blissfull Living Care LLC (Griswold Home Care for Southeast Charlotte)
• Blissfully Supported Enterprises Inc
• Maxwell Blitstein, D.C
• Michelle Lila Blitstein, M.S. R.D.
• William Mitchell Blitstein, DC, FASA, CCSP
• Jared G Block, M.D.
• Courtney Vann Blocker, FNP-C

• Mental Health Clinic/Center (Including Community Mental Health Center) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.