Healthcare Provider Details

I. General information

NPI: 1871059444
Provider Name (Legal Business Name): BELIEVING EVERYONE SUCCEEDS TOGETHER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 02/19/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 SHADY GROVE RD
KINGS MTN NC
28086-9671
US

IV. Provider business mailing address

323 SHADY GROVE RD
KINGS MTN NC
28086-9671
US

V. Phone/Fax

Practice location:
  • Phone: 704-685-6560
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: LATOYA WILLIAMS
Title or Position: CEO
Credential:
Phone: 704-685-6560