Hartsells Teen Focus,Inc

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

MHL-041-836 Issued in NC

Legal business name

HARTSELLS TEEN FOCUS,INC

Practice address

323 NC Hwy 62 East
Greensboro, NC 27406

Phone

(336) 442-1805

Fax

(336) 434-0175

NPI assigned

Oct 4, 2007

Last updated

Oct 4, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Fagan Hartsell, RN

Title

Excutive Director

Phone

(336) 442-1805

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1912195975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5952 GILBERT DAVIS DR",
            "city": "RANDLEMAN",
            "state": "NC",
            "postal_code": "273177177",
            "telephone_number": "336-442-1805",
            "fax_number": "336-434-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 NC HWY 62 EAST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27406",
            "telephone_number": "336-442-1805",
            "fax_number": "336-434-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTSELLS TEEN FOCUS,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "HARTSELL",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "FAGAN",
        "authorized_official_title_or_position": "EXCUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-442-1805",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-041-836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yaw Harrison
• Harry Lever DDS, PA
• Tracy Hart, LCMHC
• Barbara J Hartman, MSW
• Angela Hartsell, M.D., MPH
• Carol A. Hartsog, CNM
• Jennifer Leigh Reece Hartz, M.D.
• Jasmyne Nicole Harvey
• Marcus Ray Harvey, MS
• Raevin Danielle Harvey, LAT, ATC

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, 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 Oct 4, 2007; 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.