My Walk of Life Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY WALK OF LIFE INC.

Practice address

908 Moretz Ave
Charlotte, NC 28206-2127

Phone

(803) 610-1930

Fax

(803) 630-1843

NPI assigned

Mar 9, 2023

Organization subpart

No

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

Authorized official

Name

Joseph Jamal Giddins, LCSW-CNPI 1386088086

Title

Executive Director

Phone

(704) 858-1640

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joseph Jamal Giddins, LCSW.,LICW-CP

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1386088086
  NPD Authorized official

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1770283442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 OAKLAND AVE STE 233",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304073",
            "telephone_number": "704-858-1640",
            "fax_number": "803-630-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 MORETZ AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062127",
            "telephone_number": "803-610-1930",
            "fax_number": "803-630-1843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Oakland Ave Ste 233",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297304073",
            "country_code": "US",
            "telephone_number": "803-610-1930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5563 Midwood Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212124013",
            "country_code": "US",
            "telephone_number": "704-858-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MY WALK OF LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "GIDDINS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-858-1640",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Mar 9, 2023; 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.