Calvary Presbyterian Church of Charlotte

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CALVARY PRESBYTERIAN CHURCH OF CHARLOTTE

Practice address

5801 Pineville-Matthews Road
Charlotte, NC 28226

Phone

(704) 341-5326

Fax

(704) 341-5454

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John R Mandeville

Title

Treasurer

Phone

(704) 341-5330

Specialties & licenses 1

Addresses

Other names 1

• Lighthouse Counseling Center Doing business as

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376578757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 PINEVILLE-MATTHEWS ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-341-5326",
            "fax_number": "704-341-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 PINEVILLE-MATTHEWS ROAD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-341-5326",
            "fax_number": "704-341-5454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALVARY PRESBYTERIAN CHURCH OF CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDEVILLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "704-341-5330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Calmwood Springs Transportation
• Christian Raye Calo, LCMHCA
• Calvary Community Medical
• Calvary Community Medical Clinic
• Calvary Medical Clinic PA
• Calvary Transportation Services
• Amy Fowler Calvert, NP
• La Keisha Calvin
• Leanna Marie Calvin, LCSWA
• Ismail Camara, DC

• All providers in Charlotte, NC
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• 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.