Organization Active NPI

One Love Periodics

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1780004135
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
29166 Issued in NC
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

Updated by the provider on Apr 28, 2014

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)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Services17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

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.

Verify at the official NPI Registry.