Healthcare Provider Details

I. General information

NPI: 1689590135
Provider Name (Legal Business Name): JOAN'S PLACE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3916 HICKORY TREE LN
GREENSBORO NC
27405-9660
US

IV. Provider business mailing address

16013 FIELDSTONE TRCE
CHARLOTTE NC
28278-7023
US

V. Phone/Fax

Practice location:
  • Phone: 336-430-6181
  • Fax:
Mailing address:
  • Phone: 335-430-6181
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRANDI OLIVIA FINGER
Title or Position: OWNER
Credential:
Phone: 336-430-6181