Clover Community Care LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CLOVER COMMUNITY CARE LLC

Practice address

627 E Broad Ave
Rockingham, NC 28379-3758

Phone

(910) 461-9955

NPI assigned

Feb 16, 2021

Last updated

Feb 16, 2021By 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. Garcia L Morman

Title

Ceo

Phone

(910) 461-9955

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Bostic, LCAS-A

  • Mental Health Counselor
  • Rockingham, NC
  • NPI 1235069337
  NPD

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

{
    "created_epoch": "1613433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1417540998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 S RANDOLPH ST APT 2",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793600",
            "telephone_number": "910-461-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "627 E BROAD AVE",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283793758",
            "telephone_number": "910-461-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER COMMUNITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-16",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "MORMAN",
        "authorized_official_first_name": "GARCIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-461-9955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Clark, RPH.
• Timothy Clark, PHARMD
• Clewis Spine and Joint Center
• Angela Marie Clifton, MS MHC
• April Cline, LPC-A
• Crystal Moran Coen, FNP
• Paula Hollingsworth Colden, LPC
• Allison Sago Coleman, BCBA
• Steven Bryan Collins, PA
• Teresa Lynn Collins, LCMHC

• Mental Health Counselor in Rockingham, NC
• Providers in Rockingham, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.