Active NPI
Christian Women of Elegance Dba
Doing business as Cannon Blvd Family Counseling Center
- Community/Behavioral Health Agency
- Kannapolis, NC
National Provider Identifier
1912164310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MHL013144
- Legal business name
- CHRISTIAN WOMEN OF ELEGANCE DBA
- Doing business as
- Cannon Blvd Family Counseling Center
- Practice address
- 397 Cannon South Boulevard
Kannapolis, NC 28083 - Phone
- (704) 934-2002
- Fax
- (704) 934-2012
- NPI assigned
- May 22, 2008
- Last updated
- May 22, 2008
- 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
- Mrs. Frances Rebecca Hall
- Title
- Executive Director
- Phone
- (704) 332-9434
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MHL013144 | NC | Primary |
Addresses
Primary practice location
397 Cannon South Boulevard
Kannapolis, NC 28083
Mailing address
397 S Cannon Blvd
Kannapolis, NC 28083-5256
Phone (704) 934-2002
Other names 1
- Cannon Blvd Family Counseling Center
National Provider Directory
National Provider Directory- Tax ID family
- Beatties Ford Family Counseling Vocational Rehabilitation Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Beatties Ford Family Counseling & Vocational Rehabilitation Center
- Clinical Social Worker
- Charlotte, NC
- NPI 1801997416
Locations
397 S Cannon Blvd
Kannapolis, NC 28083
Phone (704) 934-2002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1912164310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "397 S CANNON BLVD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "280835256",
"telephone_number": "704-934-2002",
"fax_number": "704-934-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "397 CANNON SOUTH BOULEVARD",
"city": "KANNAPOLIS",
"state": "NC",
"postal_code": "28083",
"telephone_number": "704-934-2002",
"fax_number": "704-934-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN WOMEN OF ELEGANCE DBA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "HALL",
"authorized_official_first_name": "FRANCES",
"authorized_official_middle_name": "REBECCA",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "704-332-9434",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NC",
"license": "MHL013144",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cannon Blvd Family Counseling Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kannapolis, NC
- Nathallie Lynnette Chavez, LCSWA
- Thomas R. Chicora, LCAS, LPC
- Tonda Ellington Childers, MA; LPCA
- Donna Childress, MD
- Christian Hearing & Tinnitus of Kannapolis & Concord LLC
- Ivette Dianelle Cintron-Cubero, FNP-C
- Anthony Clodfelter, RPH
- Kendal Coffey, M.A, CCC-SLP
- Patrice Coleman
- Jennifer Collins, LCSW-A
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.