MEDICARE: DAYMARK RECOVERY SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	101YM0800X	Mental Health Counselor
3	103T00000X	Psychologist
4	103TA0400X	Addiction (Substance Use Disorder) Psychologist
5	103TA0700X	Adult Development & Aging Psychologist
6	103TB0200X	Cognitive & Behavioral Psychologist
7	1041C0700X	Clinical Social Worker
8	106H00000X	Marriage & Family Therapist
9	261QM1300X	Multi-Specialty Clinic/Center	MHL-090-004	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063567238
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAYMARK RECOVERY SERVICES INC

Provider Business Mailing Address
First Line	:	284 EXECUTIVE PARK DRIVE
Second Line	:	SUITE 100
City	:	CONCORD
State	:	NC
Zip	:	28025-1894
Country	:	US
Telephone Number	:	704-939-1100
Fax Number	:	704-939-1173

Provider Business Practice Location Address
First Line	:	701 E ROOSEVELT BLVD STE 600
Second Line	:
City	:	MONROE
State	:	NC
Zip	:	28112-4106
Country	:	US
Telephone Number	:	704-296-6200
Fax Number	:	704-296-4669

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. BILLY R WEST JR.
Credential	:
Telephone Number	:	704-939-1100

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	06/12/2023

Similar Medicare Providers

1285631119 — HANGER PROSTHETICS & ORTHOTICS EAST INC
Practice Location Address:

701 E ROOSEVELT BLVD STE 200B
MONROE, NC
28112-4106

Practice Phone: 704-291-2218
Practice Fax: 704-291-2241

1720296403 — DAYMARK RECOVERY SERVICES INC
Practice Location Address:

701 W ROOSEVELT BLVD , STE 600
MONROE, NC
28112-4106

Practice Phone: 704-296-6200
Practice Fax:

1013177492 — DAYMARK RECOVERY SERVICES INC
Practice Location Address:

701 E ROOSEVELT BLVD STE 600
MONROE, NC
28112-4106

Practice Phone: 704-296-6200
Practice Fax:

1093252405 — PRISCILLE JEAN ELUSME LCSWA
Practice Location Address:

701 E ROOSEVELT BLVD STE 600
MONROE, NC
28112-4106

Practice Phone: 47-296-6200
Practice Fax:

1619503380 — ANGELA JAMENE BERRY MSW,LCSW-A
Practice Location Address:

701 E ROOSEVELT BLVD STE 600
MONROE, NC
28112-4106

Practice Phone: 803-323-0186
Practice Fax:

1184351710 — CHRISTINE HART
Practice Location Address:

701 E ROOSEVELT BLVD STE 600
MONROE, NC
28112-4106

Practice Phone: 704-296-6200
Practice Fax:

Directions to “DAYMARK RECOVERY SERVICES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.