Tri-County Youth Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-031-041 Issued in NC

Legal business name

TRI-COUNTY YOUTH SERVICES, INC.

Practice address

410 E Cavenaugh St
Wallace, NC 28466-1908

Phone

(910) 285-6099

Fax

(910) 285-6321

NPI assigned

Nov 10, 2006

Last updated

Jan 17, 2008By 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

Mr. Felix Arthur Herring

Title

President

Phone

(910) 616-7173

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Tri-County Youth Services 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.

• Tri-County Youth Services, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Wallace, NC
  • NPI 1801911276
  NPD tax ID

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

{
    "created_epoch": "1163116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200528000000",
    "number": "1326119629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 692",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284660692",
            "telephone_number": "910-285-6099",
            "fax_number": "910-285-6321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CAVENAUGH ST",
            "city": "WALLACE",
            "state": "NC",
            "postal_code": "284661908",
            "telephone_number": "910-285-6099",
            "fax_number": "910-285-6321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COUNTY YOUTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-10",
        "last_updated": "2008-01-17",
        "status": "A",
        "authorized_official_last_name": "HERRING",
        "authorized_official_first_name": "FELIX",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-616-7173",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-031-041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603430",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Lawsons House
• The Lawsons House
• Courtney Barefoot Thomas, PHARMD
• Total Renal Care of North Carolina LLC (Wallace Dialysis)
• Bethany Cavan Treibley, FNP-C
• Tri-County Youth Services, Inc.
• Trinity Family Medicine, P.a.
• Olivia Austen Trull, OTR/L
• Urgent Care of Wallace, PLLC
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1352)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Wallace, NC
• Providers in Wallace, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2008; 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.