Healthcare Provider Details

I. General information

NPI: 1417895533
Provider Name (Legal Business Name): SEPTIMA RECOVERY HOUSE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 FALLS AVE
GRANITE FALLS NC
28630-1509
US

IV. Provider business mailing address

12 FALLS AVE
GRANITE FALLS NC
28630-1509
US

V. Phone/Fax

Practice location:
  • Phone: 828-212-0301
  • Fax: 818-212-0802
Mailing address:
  • Phone: 828-212-0301
  • Fax: 828-212-0802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MS. BELINDA K CLARK
Title or Position: ADMINISTRATOR AND OWNER
Credential: COUNSELOR
Phone: 813-305-9428