Esther'S Place, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-018-070 Issued in NC

Legal business name

ESTHER'S PLACE, INC.

Practice address

765 8TH Avenue Dr SE
Hickory, NC 28602-3933

Phone

(828) 217-1691

Fax

(828) 449-8253

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Bari Tiggett, BA, QP

Title

Program Director

Phone

(828) 217-1691

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1811900376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9593",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286039593",
            "telephone_number": "828-217-1691",
            "fax_number": "828-449-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 8TH AVENUE DR SE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286023933",
            "telephone_number": "828-217-1691",
            "fax_number": "828-449-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTHER'S PLACE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "TIGGETT",
        "authorized_official_first_name": "BARI",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "828-217-1691",
        "authorized_official_credential": "BA, QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-018-070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Marie Erickson-Fox, NP-C
• Barbara Elizabeth Ertle, RPH
• Alana Ervin
• Caleb Wade Ervin, HIS
• Stephanie Marie Estevez, NP
• Jeffrey Eudy, PHARMD
• Evans Drug & Company
• Donaver Matherly Evans II, PHARMD
• Kim Houser Evans, FNP
• Taylor Dawn Evans, PA

• Emotionally Disturbed Childrens' Residential Treatment Facility in Hickory, NC
• Providers in Hickory, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.