Organization Active NPI

Sojourn Therapy Services PLLC

  • Adult Mental Health Clinic/Center
  • Statesville, NC
National Provider Identifier
1548096621
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
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

Updated by the provider on Sep 13, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.