Domains of Life Fec, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

DOMAINS OF LIFE FEC, INC.

Practice address

711 Askew St
Burlington, NC 27215-2201

Phone

(336) 229-7500

NPI assigned

Jul 1, 2010

Organization subpart

No

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

Authorized official

Name

Toya B Stephens

Title

Ceo

Phone

(336) 229-7500

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1962713230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 ASKEW ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 ASKEW ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272152201",
            "telephone_number": "336-229-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMAINS OF LIFE FEC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "STEPHENS",
        "authorized_official_first_name": "TOYA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-229-7500"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Dobbs, LCSW
• Amber Joy Doby, LCSWA
• Kary V Dodd, D.D.S.P.A
• Dogwood Family Care Home
• Diana Halstead Dolinsky, M.D.
• Whitney Domico, CRC, LCMHCA, LCASA
• Lydia Marie Dominic, CNM
• Donald B. Covert, OD
• Cynthia O Donnelly, OD
• Emily Laine Dornblazer, DMD

• Mental Illness Community Based Residential Treatment Facility in Burlington, NC
• Providers in Burlington, 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 Jul 1, 2010; 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.