Myoverreese Fellowship Homes Inc

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MYOVERREESE FELLOWSHIP HOMES INC

Practice address

560 Wilkes Rd
Fayetteville, NC 28306-3038

Phone

(910) 779-1306

Fax

(910) 486-5976

NPI assigned

Jun 1, 2012

Last updated

Jun 1, 2012By 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

Ms. Terri Rose

Title

Executive Director

Phone

(910) 779-1306

Specialties & licenses 1

Addresses

Tax ID family

Myoverreese Fellowship Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Myrover-Reese Fellowship Homes Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
  • NPI 1275637852
  NPD tax ID

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1558622969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 WILKES RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063038",
            "telephone_number": "910-779-1306",
            "fax_number": "910-486-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 WILKES RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283063038",
            "telephone_number": "910-779-1306",
            "fax_number": "910-486-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOVERREESE FELLOWSHIP HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-779-1306",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Myles, CRNA
• Kiana Jene Myles, MSW, LCSW
• Kjirsti Ann Myles, PT
• Prasanthi Myneni, MD
• Venkata N. Myneni, MD
• Grace Nell Myrick, ASSOCIATE
• Megan Pate Myrick, DPT
• Myrover-Reese Fellowship Homes Inc.
• N Carolina RX, LLC (Carolina Rx Pharmacy)
• Tilani Nadeau, PA

• Addiction (Substance Use Disorder) Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.