Monadnock Mind and Body

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

2012-01667 Issued in NC

Legal business name

MONADNOCK MIND AND BODY

Practice address

3169 NC 8 Hwy S
Autumn Square Suite #201
Walnut Cove, NC 27052-5693

Phone

(336) 409-5178

Fax

(866) 376-2925

NPI assigned

May 12, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Vicki O Morrow, M.D.

Title

Psychiatrist

Phone

(336) 409-5178

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399852800000",
    "number": "1295146389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 NC 8 HWY S",
            "address_2": "AUTUMN SQUARE SUITE #201",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270525693",
            "telephone_number": "336-409-5178",
            "fax_number": "866-376-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 NC 8 HWY S",
            "address_2": "AUTUMN SQUARE SUITE #201",
            "city": "WALNUT COVE",
            "state": "NC",
            "postal_code": "270525693",
            "telephone_number": "336-409-5178",
            "fax_number": "866-376-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONADNOCK MIND AND BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-12",
        "last_updated": "2014-05-12",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "336-409-5178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "2012-01667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5921708",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Lewis
• Lori Oakley Coe, MD, PA
• Billy Chad McHone, COTA
• Miranda McKinney McHone, COTA/L
• Deborah L Miller, SPEECH THERAPIST
• Monarch
• Monarch
• Olivia Annbria Morgan
• Bailey Moser
• Hannah Jacqueline Munford, CCC-SLP

• Medical Specialty Clinic/Center in Walnut Cove, NC
• Providers in Walnut Cove, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2014; 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.