# BARIUM SPRINGS HOME FOR CHILDREN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265478366
- **Authorized official:** MR. JOHN KOPPELMEYER (PRESIDENT)
- **Authorized official phone:** (704) 872-4157

## Contact information

- **Practice address:** 156 FRAZIER LOOP, STATESVILLE, NC 28677
- **Practice address phone:** (704) 872-4157
- **Practice address fax:** (704) 838-1541
- **Mailing address:** PO BOX 1, BARIUM SPRINGS, NC 28010-0001
- **Mailing address phone:** (704) 872-4157
- **Mailing address fax:** (704) 838-1541

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TF0000X | Family Psychologist | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | MHL-049-085 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | MHL-049-090 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | MHL-049-104 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | MHL-086-041 | NC | — |
| 251S00000X | Community/Behavioral Health Agency | MHL-099-017 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-049-075 | NC | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-049-086 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-049-087 | NC | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | MHL-099-004 | NC | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 08/18/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8300723 | — | NC |