Healthcare Provider Details

I. General information

NPI: 1720107733
Provider Name (Legal Business Name): HOLY ANGELS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2352 SOUTHPOINT RD
BELMONT NC
28012-7790
US

IV. Provider business mailing address

6600 W WILKINSON BLVD
BELMONT NC
28012-2796
US

V. Phone/Fax

Practice location:
  • Phone: 704-825-4161
  • Fax: 704-825-0401
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License NumberMHL-036-041
License Number StateNC

VIII. Authorized Official

Name: PAULA FAYE ATKINS
Title or Position: CHIEF CLINICAL OFFICER
Credential:
Phone: 704-825-4161