Active NPI
One Love Periodics
- Community/Behavioral Health Agency
- Wadesboro, NC
National Provider Identifier
1780004135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 29166
- Legal business name
- ONE LOVE PERIODICS
- Practice address
- 121 Wortham St Ste G
Wadesboro, NC 28170-2474 - Phone
- (828) 433-4567
- Fax
- (828) 433-4576
- NPI assigned
- Apr 24, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Stevie L Wideman, QP
- Title
- Coo
- Phone
- (704) 640-5501
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 29166 | NC | |
| Community/Behavioral Health Agency | 251S00000X | 29166 | NC | Primary |
Addresses
Primary practice location
121 Wortham St Ste G
Wadesboro, NC 28170-2474
Mailing address
121 Wortham St Ste G
Wadesboro, NC 28170-2474
Phone (828) 433-4567
National Provider Directory
National Provider Directory- Tax ID family
- One Love Periodic Services
Other organizations with this tax ID 16
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Salisbury, NC
- NPI 1164791836
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1356610026
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1366711038
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1366878472
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1427327196
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1437428109
-
- Community/Behavioral Health Agency
- Hickory, NC
- NPI 1457787558
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1609145374
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1629347398
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1700155470
-
- Community/Behavioral Health Agency
- Morganton, NC
- NPI 1780953455
-
- Community/Behavioral Health Agency
- Fayetteville, NC
- NPI 1881020907
Locations
121 Wortham St
Ste G
Wadesboro, NC 28170
Phone (704) 994-2361
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398643200000",
"number": "1780004135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 WORTHAM ST STE G",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281702474",
"telephone_number": "828-433-4567",
"fax_number": "828-433-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 WORTHAM ST STE G",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281702474",
"telephone_number": "828-433-4567",
"fax_number": "828-433-4576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ONE LOVE PERIODICS",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-24",
"last_updated": "2014-04-28",
"status": "A",
"authorized_official_last_name": "WIDEMAN",
"authorized_official_first_name": "STEVIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "704-640-5501",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "QP"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "NC",
"license": "29166",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "29166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wadesboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.