Calm Source Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

7556 Issued in NC

Legal business name

CALM SOURCE INC

Practice address

149 Glenn Brooke LN
King, NC 27021-9328

Phone

(336) 970-7229

NPI assigned

Jul 16, 2008

Organization subpart

No

Name

Antonio D McClendon

Title

President/Ceo

Phone

(336) 970-7229

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 20, 2010.

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274313600000",
    "number": "1447414636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PETERS CREEK PKWY STE 101",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033858",
            "telephone_number": "336-970-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 GLENN BROOKE LN",
            "city": "KING",
            "state": "NC",
            "postal_code": "270219328",
            "telephone_number": "336-970-7229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALM SOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-16",
        "last_updated": "2010-05-20",
        "status": "A",
        "authorized_official_last_name": "MCCLENDON",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "336-970-7229"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "7556",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-034-256",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Reynolds Bowles, RN, NP
• Toni Boyd, MA, LCMHA
• Trinia Lasonia Brown, FNP
• Melissa Ann Bruce
• Diana Bryant, LMFTA
• Hope Campbell, LPC
• Jessica Campbell
• Capital Care Resources, LLC
• Carolina Occupational Therapy Services
• Billy Chinault

• All providers in King, NC
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.