Vine Family Services & Consulting PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VINE FAMILY SERVICES & CONSULTING PLLC

Practice address

167 Fairfield Dr
Troutman, NC 28166-0049

Phone

(704) 439-6314

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By 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

Kimberly Davis

Title

Credentialing Specialists

Phone

(912) 373-4385

Specialties & licenses 1

Addresses

Other names 1

• The Vine Family Services & Consulting PLLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melody N Gurganus

  • Clinical Social Worker
  • Troutman, NC
  • NPI 1104466085
  NPD

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1992565568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 FAIRFIELD DR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660049",
            "telephone_number": "704-439-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "167 FAIRFIELD DR",
            "city": "TROUTMAN",
            "state": "NC",
            "postal_code": "281660049",
            "telephone_number": "704-439-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE FAMILY SERVICES & CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALISTS",
        "authorized_official_telephone_number": "912-373-4385"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Vine Family Services & Consulting PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kimberly Duvall Whiton, FNP
• Han Zhou, DMD

• Community/Behavioral Health Agency in Troutman, NC
• Providers in Troutman, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.