Between Faces Foundation, Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

BETWEEN FACES FOUNDATION, INC

Practice address

13000 S Tryon St Ste F-179
Charlotte, NC 28278-7652

Phone

(704) 773-5475

NPI assigned

May 17, 2012

Organization subpart

No

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

Authorized official

Name

Leshawn Peckham

Title

Founder & Ceo

Phone

(704) 773-5475

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1912267477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F-179",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "704-773-5475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 S TRYON ST STE F-179",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282787652",
            "telephone_number": "704-773-5475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETWEEN FACES FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "PECKHAM",
        "authorized_official_first_name": "LESHAWN",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "704-773-5475"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie E Betters, ANP-C
• David Anthony Betts, CRNA
• Marshall Betts
• Betty Ann Clark (B.A.C.'s Place)
• Betty R Ostrow DDS PA
• Between Transit Transportation LLC
• Michael C Beuhler, MD
• Maureen Beurskens, MD
• Christine Bevan, LPC
• Patricia A Beverly, M.A.CCC-SP

• Mental Illness Community Based Residential Treatment Facility in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.