Center for Self Growth PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C003021 Issued in NC

Legal business name

CENTER FOR SELF GROWTH PLLC

Practice address

144 W Mountain St
Suite 3
Kings Mountain, NC 28086-3446

Phone

(704) 607-3324

Fax

(704) 675-5814

NPI assigned

May 12, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Terry William Nichols, L.C.S.W.

Title

Owner/Ceo

Phone

(704) 607-3324

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242086400000",
    "number": "1760616296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 W MOUNTAIN ST",
            "address_2": "SUITE 3",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863446",
            "telephone_number": "704-607-3324",
            "fax_number": "704-675-5814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 W MOUNTAIN ST",
            "address_2": "SUITE 3",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863446",
            "telephone_number": "704-607-3324",
            "fax_number": "704-675-5814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SELF GROWTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-12",
        "last_updated": "2009-05-12",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "704-607-3324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C003021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolinas Physicians Network, Inc.
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• Caromont Medical Group Inc
• Molly Whitworth Carpenter, OTR
• Irene De Sotto Catindig
• Christopher M. Cerjan, MD
• John Allyn Cheshire III, PA-C
• Chiropractic Physicians of the Carolinas - Kings Mountain
• Tyler Chiste
• Christian G Anderson MD PA

• Community/Behavioral Health Agency in Kings Mountain, NC
• Providers in Kings Mountain, 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 12, 2009; 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.