True Change Youth Home LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

TRUE CHANGE YOUTH HOME LLC

Practice address

1724 10TH Street PL NW
Hickory, NC 28601-1740

Phone

(828) 320-1710

NPI assigned

Jan 24, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Tracy Corpening

Title

Member

Phone

(828) 320-1710

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1232755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232755200000",
    "number": "1396983649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 18TH AVE NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011822",
            "telephone_number": "828-320-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 10TH STREET PL NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286011740",
            "telephone_number": "828-320-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUE CHANGE YOUTH HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-24",
        "last_updated": "2009-01-24",
        "status": "A",
        "authorized_official_last_name": "CORPENING",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "828-320-1710",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Trollan, M.A.
• Richard D. Troutman, D.D.S.
• Susan A. Troutman, NP
• True Behavioral Healthcare
• True Behavioral Healthcare, Inc.
• Fabiola Beatriz Trujillo Rodriguez
• Neorlan Trujillo, PT, DPT, OCS
• Emilee Victoria Tucker, AUD
• Olivia Marie Tucker, LCSW
• David Joshua Tunnell, D.O.

• Emotionally Disturbed Childrens' Residential Treatment Facility in Hickory, NC
• Providers in Hickory, 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 24, 2009; 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.