Myrover-Reese Fellowship Homes Inc.

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MHL026005 Issued in NC

Legal business name

MYROVER-REESE FELLOWSHIP HOMES INC.

Practice address

560 Wilkes Rd
Fayetteville, NC 28306-3038

Phone

(910) 486-8718

Fax

(910) 486-5976

NPI assigned

Sep 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. William F Frye Sr.

Title

General Manager

Phone

(910) 486-8718

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Myoverreese Fellowship Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Myoverreese Fellowship Homes Inc

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1558622969
  NPD tax ID

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275637852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64933",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283060933",
            "telephone_number": "910-486-8718",
            "fax_number": "910-486-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WILKES RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063038",
            "telephone_number": "910-486-8718",
            "fax_number": "910-486-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYROVER-REESE FELLOWSHIP HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FRYE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "910-486-8718",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL026005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasanthi Myneni, MD
• Venkata N. Myneni, MD
• Myoverreese Fellowship Homes Inc
• Grace Nell Myrick, ASSOCIATE
• Megan Pate Myrick, DPT
• N Carolina RX, LLC
• Tilani Nadeau, PA
• Sydney Anelle Nadolny, LCMHC ASSOCIATE
• Elizabeth Rogers Nagengast, PA-C
• Kiran Reddy Nakkala, M.D., MPH

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.