Wings of Flight Center for Change, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WINGS OF FLIGHT CENTER FOR CHANGE, PLLC

Practice address

118 Ebenezer Rd
Old Fort, NC 28762-7846

Phone

(828) 407-0880

NPI assigned

Jan 7, 2022

Last updated

Jan 7, 2022By 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

Brandi Lynn Harris, MA, LCMHCSNPI 1205011129

Title

Owner/Therapist

Phone

(828) 407-0880

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandi Lynn Harris, LCMHCS, CCS

  • Professional Counselor
  • Lake Lure, NC
  • NPI 1205011129
  NPD Authorized official

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1679234017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 EBENEZER RD",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287627846",
            "telephone_number": "828-407-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 EBENEZER RD",
            "city": "OLD FORT",
            "state": "NC",
            "postal_code": "287627846",
            "telephone_number": "828-407-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF FLIGHT CENTER FOR CHANGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "828-407-0880",
        "authorized_official_credential": "MA, LCMHCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The McDowell Hospital Inc (Mission Community Medicine Old Fort)
• Jon Charles Tripp, L.P.C.
• Kevin Waller, LPCS, LCAS, CCS
• Ware Family Medicine PLLC
• Brian Michael Ware, D.O.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Old Fort, NC
• Providers in Old Fort, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.