Healthcare Provider Details

I. General information

NPI: 1922874882
Provider Name (Legal Business Name): HS&M CONSTRUCTION INC., DBA: HS&M MENTAL HEALTH & EDUCATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 12/08/2023
Certification Date: 12/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 KENWOOD DR
SHELBY NC
28150-6072
US

IV. Provider business mailing address

301 MCCULLOUGH DR STE 400
CHARLOTTE NC
28262-1336
US

V. Phone/Fax

Practice location:
  • Phone: 704-804-9075
  • Fax:
Mailing address:
  • Phone: 704-804-9075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code385HR2065X
TaxonomyChild Physical Disabilities Respite Care
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. HAWA ELIZABETH HUNT
Title or Position: CEO
Credential:
Phone: 704-804-9075