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

Organization subpart

No

Name

Kimberly Davis

Title

Credentialing Specialists

Phone

(912) 373-4385

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melody N Gurganus

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

• The Vine Family Services & Consulting PLLC Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2024.

{
    "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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• All providers in Troutman, NC
• 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.