Yellow Wood Talk Therapy, LLC
Community/Behavioral Health

Address: 5256 Eider Ln, Granite Falls, NC 28630-8754
Phone: 8284930759

Yellow Wood Talk Therapy, LLC (NPI# 1992154413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1992154413
Entity Type Organization
Organization Name YELLOW WOOD TALK THERAPY, LLC
Practice Address 5256 Eider Ln
Granite Falls
NC 28630-8754
Practice Telephone 8284930759
Practice Fax Number 8282120466
Mailing Address 5256 Eider Ln
Granite Falls
NC 28630-8754
Mailing Telephone 8284930759
Mailing Fax Number 8282120466
Authorized Official Name Paul Anthony Mastrovito (CEO)
Authorized Official Telephone 8284930759
Authorized Official Credential LCSW
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2016-06-06
Last Update Date 2020-09-28

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 251S00000X Community/Behavioral Health Agencies C004644 NC

Secondary Practice Locations

Address Telephone Number Fax Number
219a Avery Ave, Morganton, NC 286553102 8284930759

Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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Office Location

Street Address 5256 EIDER LN
City GRANITE FALLS
State NC
Zip Code 28630-8754

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710528377 Grace Village Inc Assisted Living Facility 501 River Bend Dr., Granite Falls, NC 28630 2019-10-04
1437623626 Prime Surgical Suites, LLC Clinic/Center 180 Riverbend Dr, Granite Falls, NC 28630 2019-01-22
1477943785 Sarah Thompson Pharmacist 2630 Connelly Springs Road, Granite Falls, NC 28630 2015-01-26
1235577602 Lesley Macinnes Pediatrics 4355 Hickory Blvd., Lower Suite, Granite Falls, NC 28630 2013-06-07
1538426648 Cynthia Ann Hack Physical Therapy Assistant 100 Sunset St., Granite Falls, NC 28630 2012-04-13
1730330267 Richelle C Miller Nurse Practitioner 160 River Bend Drive, Suite A, Granite Falls, NC 28630 2008-10-02
1043350804 Community Pharmacy of Granite Falls, LLC Pharmacist 21 Falls Ave, Granite Falls, NC 28630 2007-02-08
1083706816 David Lee Masters Pediatrics 4355 Hickory Blvd Ste 2, Granite Falls, NC 28630 2006-09-29
1790720829 Sally Rae Soucy Advanced Practice Midwife 4355 Hickory Blvd Ste 1, Granite Falls, NC 28630 2006-06-20
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Competitor

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City GRANITE FALLS
Zip Code 28630

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.