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Organization

SERVANTS HEART COMMUNITY & BEHAVIORAL SERVICES

Active
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Organization

SERVANTS HEART COMMUNITY & BEHAVIORAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANDREA TRACEE JOHNSON MHA (OWNER)
(704) 241-0788
Entity
Organization

Contact information

Practice address
8319 AINSWORTH ST, CHARLOTTE, NC 28216-3645
(704) 241-0788
Mailing address
8319 AINSWORTH ST, CHARLOTTE, NC 28216-3645
(704) 241-0788

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
405300000X
Prevention Professional
—
—

Other

Enumeration date
12/17/2024
Last updated
08/27/2026
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