Healthcare Provider Details

I. General information

NPI: 1144365933
Provider Name (Legal Business Name): CLEVELAND OF COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 E GROVER ST
SHELBY NC
28150-3919
US

IV. Provider business mailing address

315 E GROVER ST
SHELBY NC
28150-3919
US

V. Phone/Fax

Practice location:
  • Phone: 704-484-5100
  • Fax:
Mailing address:
  • Phone: 704-484-5100
  • 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 Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DENESE R STALLINGS
Title or Position: HEALTH DIRECTOR
Credential:
Phone: 704-484-5100