Procure Therapeutic Agency, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROCURE THERAPEUTIC AGENCY, INC

Practice address

2301 W Morehead St
Suite B
Charlotte, NC 28208-5271

Phone

(704) 910-1122

Fax

(704) 910-1139

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

David Dewayne Frierson Jr.

Title

Owner/Ceo

Phone

(704) 910-1122

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Krystie M Green, LCSWA

  • Clinical Social Worker
  • Huntersville, NC
  • NPI 1598459828
  NPD (past)
• Sheree Danielle Harper, M.A., NCC, LPCA

  • Professional Counselor
  • Charlotte, NC
  • NPI 1265881072
  NPD (past)
• Yolonda Tindal, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1467879395
  NPD (past)

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1629223565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 620157",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282620102",
            "telephone_number": "704-910-1122",
            "fax_number": "704-910-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W MOREHEAD ST",
            "address_2": "SUITE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085271",
            "telephone_number": "704-910-1122",
            "fax_number": "704-910-1139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Cloninger Mill Rd NE",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "286017526",
            "country_code": "US",
            "telephone_number": "704-910-1122",
            "fax_number": "704-910-1139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROCURE THERAPEUTIC AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "FRIERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-910-1122",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008198",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3410183",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5915392",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302580",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cary Michelle Probst, P.A.-C
• Linda Probst, MAT, LAT, ATC
• Procare Pharmacy, LLC
• Keyonda Proctor
• Maggie Reed Proctor, PA-C
• Prodigy Diabetes Care, LLC
• Prodigy Solutions, LLC
• Professional Behavior Innovations
• Professional Care Community Service
• Professional Care Community Services

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.