Active NPI
Tri-County Youth Services, Inc.
- Adolescent and Children Mental Health Clinic/Center
- Wallace, NC
National Provider Identifier
1801911276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- MHL-031-041
- Legal business name
- TRI-COUNTY YOUTH SERVICES, INC.
- Practice address
- 410 E Cavenaugh St
Wallace, NC 28466-1908 - Phone
- (910) 285-6099
- Fax
- (910) 285-6321
- NPI assigned
- Mar 21, 2007
- 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. Felix Arthur Herring
- Title
- President
- Phone
- (910) 616-7173
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | MHL-031-041 | NC | Primary |
Addresses
Primary practice location
410 E Cavenaugh St
Wallace, NC 28466-1908
Mailing address
PO Box 692
Wallace, NC 28466-0692
Phone (910) 285-6099
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301164 | Medicaid | NC | |
| 8301164B | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Tri-County Youth Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Wallace, NC
- NPI 1326119629
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1801911276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 692",
"city": "WALLACE",
"state": "NC",
"postal_code": "284660692",
"telephone_number": "910-285-6099",
"fax_number": "910-285-6321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E CAVENAUGH ST",
"city": "WALLACE",
"state": "NC",
"postal_code": "284661908",
"telephone_number": "910-285-6099",
"fax_number": "910-285-6321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-COUNTY YOUTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-21",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "HERRING",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "ARTHUR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-616-7173",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "NC",
"license": "MHL-031-041",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301164",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8301164B",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wallace, NC
- The Lawsons House
- Courtney Barefoot Thomas, PHARMD
- Total Renal Care of North Carolina LLC (Wallace Dialysis)
- Bethany Cavan Treibley, FNP-C
- Tri-County Youth Services, Inc.
- Trinity Family Medicine, P.a.
- Olivia Austen Trull, OTR/L
- Urgent Care of Wallace, PLLC
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-1352)
- Walgreen Co. (Walgreens #10088)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.