Carolina Crisis Support

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CAROLINA CRISIS SUPPORT

Practice address

4105 Everest Dr
Gastonia, NC 28054-0003

Phone

(704) 678-8755

NPI assigned

Mar 18, 2024

Organization subpart

No

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

Authorized official

Name

Brian Mobley

Title

Owner/Manager

Phone

(704) 678-8755

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1306605688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4105 EVEREST DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540003",
            "telephone_number": "704-678-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4105 EVEREST DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280540003",
            "telephone_number": "704-678-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA CRISIS SUPPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "MOBLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "704-678-8755"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Care Connect, LLC
• Carolina Center for Counseling & Clinical Services, Inc.
• Carolina Chiropractic Group of Gastonia PLLC
• Carolina Clinic for Digestive Diseases
• Carolina Community Services
• Carolina Digestive Diseases Center, PC
• Carolina Family Network & Therapeutic SVC
• Carolina Home Care Solutions, Inc
• Carolina Mercy Medical Clinic PC
• Carolina Neurological Consulting, PLLC

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.