Active NPI
Circle of Life Family Services
- Community/Behavioral Health Agency
- Charlotte, NC
National Provider Identifier
1578899670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CIRCLE OF LIFE FAMILY SERVICES
- Practice address
- 9635 Southern Pine Blvd
Suite 111
Charlotte, NC 28273-5558 - Phone
- (704) 236-4067
- NPI assigned
- Oct 23, 2009
- 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
- Ojetta Lachan Byrd
- Title
- Partner
- Phone
- (704) 236-4067
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9635 Southern Pine Blvd
Suite 111
Charlotte, NC 28273-5558
Mailing address
9635 Southern Pine Blvd
Suite 111
Charlotte, NC 28273-5558
Phone (704) 236-4061
National Provider Directory
National Provider DirectoryLocations
9635 Southern Pine Blvd
Ste 111
Charlotte, NC 28273
Phone (704) 236-4067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1270684800000",
"number": "1578899670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD",
"address_2": "SUITE 111",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735558",
"telephone_number": "704-236-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9635 SOUTHERN PINE BLVD",
"address_2": "SUITE 111",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282735558",
"telephone_number": "704-236-4067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE OF LIFE FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-23",
"last_updated": "2010-04-08",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "OJETTA",
"authorized_official_middle_name": "LACHAN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "704-236-4067"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.