Support Incorporated

LBN: Support Incorporated
Support Incorporated is an health care organization with primary practice located at 708 S Chestnut St , Gastonia NC 28054-4548. The organization recently has 13 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty, Ambulatory Health Care Facilities / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Agencies / Community/Behavioral Health is the primary health care specialty. Support Incorporated can be contacted via phone (704) 865-3525, or through Martin, Josh via phone (704) 865-3529.

Contact Information

Primary practice address
708 S Chestnut St Gastonia NC 28054-4548
Phone: (704) 865-3525
Fax: (704) 865-3520
Website:
Map and Directions
Authorized official contact:
Name: Martin, Josh
Phone: (704) 865-3529

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X
Agencies / Community/Behavioral Health 251S00000X MHL-036-292 North Carolina
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X
Ambulatory Health Care Facilities / Primary Care 261QP2300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1780974253
LBN Legal business name Support Incorporated
DBA Doing business as
Authorized official Martin, Josh
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2011
Last updated Dec 30th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780974253 NPPES
North Carolina MEDICAID 8303341
North Carolina MEDICAID 5918314
North Carolina Other 016V4
North Carolina MEDICAID 6005063

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