McCullough Center for Community Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MCCULLOUGH CENTER FOR COMMUNITY SERVICES

Practice address

125 W Tremont Ave
411
Charlotte, NC 28203-0014

Phone

(704) 685-0377

NPI assigned

Jan 10, 2011

Organization subpart

No

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

Authorized official

Name

Manette Morrow

Title

President

Phone

(704) 685-0377

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1346544038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W TREMONT AVE",
            "address_2": "411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282030014",
            "telephone_number": "704-685-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W TREMONT AVE",
            "address_2": "411",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282030014",
            "telephone_number": "704-685-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCULLOUGH CENTER FOR COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "MANETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-685-0377"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Louise Mattocks McCrorie, LCSW
• Erin C. McCrum, M.D.
• Sandra W McCrystle, NP
• Cramer Austin McCullen, MD
• Harlan A McCulloch, MD
• Batonya McCullough
• Katherine Annmarie Ahern McCullough, PA
• Kathleen Rose McCullough, PA
• Tiffany Vilese McCullough, LMFTA
• Isiah McCullum

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, 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 Jan 10, 2011; 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.