Active NPI
Sojourn Therapy Services PLLC
- Adult Mental Health Clinic/Center
- Statesville, NC
National Provider Identifier
1548096621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- Legal business name
- SOJOURN THERAPY SERVICES PLLC
- Practice address
- 423 Saint Andrews Rd
Statesville, NC 28625-4660 - Phone
- (980) 349-7058
- NPI assigned
- Sep 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andie Sloan, M. ED., LCMHC
- Title
- Admin, Owner
- Phone
- (980) 349-7058
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | Primary | ||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
423 Saint Andrews Rd
Statesville, NC 28625-4660
Mailing address
423 Saint Andrews Rd
Statesville, NC 28625-4660
Phone (980) 349-7058
National Provider Directory
National Provider DirectoryLocations
112 Court St
Statesville, NC 28677
Phone (828) 485-6012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726185600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726185600000",
"number": "1548096621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "423 SAINT ANDREWS RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254660",
"telephone_number": "980-349-7058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "423 SAINT ANDREWS RD",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254660",
"telephone_number": "980-349-7058"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOJOURN THERAPY SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-13",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A",
"authorized_official_last_name": "SLOAN",
"authorized_official_first_name": "ANDIE",
"authorized_official_title_or_position": "ADMIN, OWNER",
"authorized_official_telephone_number": "980-349-7058",
"authorized_official_credential": "M. ED., LCMHC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.