Reach for Independence, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL045060 Issued in NC

Legal business name

REACH FOR INDEPENDENCE, INC

Practice address

410 Mills Gap Rd
Fletcher, NC 28732-8549

Phone

(828) 808-5493

Fax

(828) 687-0420

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Wanda Stills, B.A.

Title

President

Phone

(828) 808-5493

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Reach for Independence Inc Doing business as

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598313600000",
    "number": "1356480602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 HOOPERS CREEK RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287327536",
            "telephone_number": "828-654-0901",
            "fax_number": "828-687-0420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MILLS GAP RD",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287328549",
            "telephone_number": "828-808-5493",
            "fax_number": "828-687-0420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 Hoopers Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287327536",
            "country_code": "US",
            "telephone_number": "828-654-0901",
            "fax_number": "828-687-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Hoopers Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287327536",
            "country_code": "US",
            "telephone_number": "828-654-0901",
            "fax_number": "828-687-0420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 Mills Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287322873",
            "country_code": "US",
            "telephone_number": "828-808-5493",
            "fax_number": "182-865-4090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REACH FOR INDEPENDENCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A",
        "authorized_official_last_name": "STILLS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-808-5493",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL045060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418360",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reach for Independence Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Perry
• Kimberly L Pilicek, MS, CCC-SLP
• Angella B Polson, MF
• Rathasen Prom, PHARMD
• R. Michael Kennerly, M.D.,P.a.
• Recovery on the Ridge LLC
• Stella Redenski
• Rebecca Mae Redpath, LCSW
• Myrna Layton Reesor, MA, CCC-SLP
• Seth Michael Reynolds, BOC-O, CP

• Community/Behavioral Health Agency in Fletcher, NC
• Providers in Fletcher, 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 Aug 25, 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.