Midwood Addiction Treatment, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

MHL-060-1367 Issued in NC

Legal business name

MIDWOOD ADDICTION TREATMENT, LLC

Practice address

3057 Senna Dr
Matthews, NC 28105-6727

Phone

(704) 625-2828

NPI assigned

Dec 11, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Emily Connolly

Title

Director of Revenue

Phone

(954) 857-4976

Specialties & licenses 3

Addresses

Tax ID family

Midwood Addiction Treatment LLC2 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.

• Midwood Addiction Treatment, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Matthews, NC
  • NPI 1568941672
  NPD tax ID

Locations

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1609381771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2882",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334022882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 SENNA DR",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281056727",
            "telephone_number": "704-625-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWOOD ADDICTION TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-11",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "954-857-4976"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NC",
            "license": "MHL-060-1367",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NC",
            "license": "MHL-060-1367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metroview Healthcare Solutions Inc
• Mariah Metzger, MS, CSCS
• Michael J. Schmitt, DC PA
• Tesfaldet Tecle Michael, MD
• Midwood Addiction Treatment, LLC
• Violeta Mihailescu, MD
• Milked Lactation Services, LLC
• Aaron Matthew Miller
• Hannah McKenzie Miller
• Josie Miller, BCBA

• Substance Abuse Rehabilitation Facility in Matthews, NC
• Providers in Matthews, NC by specialty
• Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; 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.