1265959100 BROKEN PIECES SERVICES LLC

Community/Behavioral Health Agency

Active

Basic Information

Organization Name
BROKEN PIECES SERVICES LLC
Enumeration Date
August 22, 2017
Last Update
August 15, 2023
Authorized Official
MS. MARQUITA RUSSELL
OPERATIONS
Phone: (980) 258-9315

Practice Location

Address
2020 REMOUNT RD
GASTONIA, NC 280547476
Phone
(980) 355-3737

Mailing Address

Address
2020 REMOUNT RD STE G-100B
GASTONIA, NC 280547476
Phone
(980) 355-3737

Specialties & Taxonomies

Specialty Code Classification License State Primary
Addiction (Substance Use Disorder) Counselor
Addiction (Substance Use Disorder)
 101YA0400X Counselor N/A N/A No
Mental Health Counselor
Mental Health
 101YM0800X Counselor N/A N/A No
Clinical Social Worker
Clinical
 1041C0700X Social Worker N/A N/A No
Behavior Technician
 106S00000X Behavior Technician N/A N/A No
Peer Specialist
 175T00000X Peer Specialist N/A N/A No
Early Intervention Provider Agency
 252Y00000X Early Intervention Provider Agency N/A N/A No
In Home Supportive Care Agency
 253Z00000X In Home Supportive Care N/A N/A No
Home Health Aide
 374U00000X Home Health Aide N/A N/A No
Respite Care
 385H00000X Respite Care N/A N/A No
Child Mental Illness Respite Care
Respite Care, Mental Illness, Child
 385HR2055X Respite Care N/A N/A No
Child Physical Disabilities Respite Care
Respite Care, Physical Disabilities, Child
 385HR2065X Respite Care N/A N/A No
Community/Behavioral Health Agency
 251S00000X Community/Behavioral Health N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
00571688 05 NC N/A
GP7951 05 SC N/A

Additional Practice Locations

8021 Bella Vista Ct
Charlotte, NC 282162043

Phone: (980) 258-9315

706 Lazy Oak Ct
Clover, SC 297107848

Phone: (980) 258-9315

Digital Endpoints

DIRECT

mn@brokenpiecesllc.org.in

DIRECT

mn@brokenpiecesllc.org.in

mn@brokenpiecesllc.org.in

CONNECT

mn@brokenpiecesllc.org.in

Frequently Asked Questions

What is BROKEN PIECES SERVICES LLC's NPI number?
BROKEN PIECES SERVICES LLC's NPI number is 1265959100.
Which doctor has NPI number 1265959100?
The doctor with NPI number 1265959100 is BROKEN PIECES SERVICES LLC.
What is BROKEN PIECES SERVICES LLC's practice address?
BROKEN PIECES SERVICES LLC's practice address is 2020 REMOUNT RD, GASTONIA, NC, 280547476.
Which doctor practices at 2020 REMOUNT RD, GASTONIA, NC, 280547476?
BROKEN PIECES SERVICES LLC practices at 2020 REMOUNT RD, GASTONIA, NC, 280547476.
What is BROKEN PIECES SERVICES LLC's mailing address?
BROKEN PIECES SERVICES LLC's mailing address is 2020 REMOUNT RD STE G-100B, GASTONIA, NC, 280547476.
What is BROKEN PIECES SERVICES LLC's phone number?
BROKEN PIECES SERVICES LLC's phone number is (980) 355-3737.
Who is (980) 355-3737?
(980) 355-3737 is the phone number for BROKEN PIECES SERVICES LLC.
What is BROKEN PIECES SERVICES LLC's specialty?
BROKEN PIECES SERVICES LLC's specialty is Community/Behavioral Health Agency.
What type of doctor is BROKEN PIECES SERVICES LLC?
BROKEN PIECES SERVICES LLC is a Community/Behavioral Health Agency.
Is BROKEN PIECES SERVICES LLC a Community/Behavioral Health?
Yes, BROKEN PIECES SERVICES LLC is a Community/Behavioral Health.
Is BROKEN PIECES SERVICES LLC still practicing?
Yes, BROKEN PIECES SERVICES LLC is currently practicing.
Is BROKEN PIECES SERVICES LLC accepting new patients?
BROKEN PIECES SERVICES LLC may be accepting new patients. Please call their office at (980) 355-3737 to inquire about availability.
Is NPI 1265959100 still active?
Yes, NPI 1265959100 is currently active.
Where does BROKEN PIECES SERVICES LLC practice?
BROKEN PIECES SERVICES LLC practices in GASTONIA, NC.