=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467273078
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THE RIGHT DIRECTION LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/17/2024
-----------------------------------------------------
Last Update Date | 03/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2020 REMOUNT RD STE E-111
-----------------------------------------------------
City | GASTONIA
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28054-7476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-931-5020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2020 REMOUNT RD STE E-111
-----------------------------------------------------
City | GASTONIA
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28054-7476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-931-5020
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | PAMELA BARCLAY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 203-931-5020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------