Organization Active NPI

Mooresville Counseling and Recovery Services, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mooresville, NC
National Provider Identifier
1316901655
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2362 Issued in NC
Legal business name
MOORESVILLE COUNSELING AND RECOVERY SERVICES, PLLC
Practice address
398 N Main St
Mooresville, NC 28115-2454
Phone
(704) 737-8580
NPI assigned
Apr 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John R. Culbreth, PH.D.
Title
Owner/Counselor
Phone
(704) 737-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2362 NC Primary

Addresses

Primary practice location

398 N Main St
Mooresville, NC 28115-2454

Mailing address

149 Misty Arbor LN
Mooresville, NC 28117-5100
Phone (704) 737-8580

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316901655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MISTY ARBOR LN",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281175100",
            "telephone_number": "704-737-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "398 N MAIN ST",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152454",
            "telephone_number": "704-737-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE COUNSELING AND RECOVERY SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULBRETH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "704-737-8580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NC",
            "license": "2362",
            "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 Aug 22, 2020; 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.