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General NPI Number Information
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NPI Number | 1366123168
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Entity Type | Organization
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Legal Business Name | GRAND RISINGS OF THE CAROLINAS
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Dates
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Enumeration Date | 07/26/2023
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 1303 N. 12TH STREET
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City | BESSEMER CITY
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State | NC
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Zip | 28016
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Country | US
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Telephone | 704-277-7564
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Fax |
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Provider Business Mailing Address
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Address Line | 911 S MARIETTA ST
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City | GASTONIA
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State | NC
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Zip | 28054-5434
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Country | US
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Telephone | 704-277-7564
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Fax | 704-386-9236
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Authorized Official
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Title or Position | MANAGING MEMBER, QP/NCCPSS
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Name | PRECIOUS S ROLLINS
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Credential | BA/QMHP
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Telephone | 704-277-7564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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