Organization
EPIPHANY FAMILY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATY MILLNER-CATHCART MHA (OPERATIONS OFFICER)
(704) 536-6853
Entity
Organization
Contact information
Practice address
102 CHURCH ST NE, CONCORD, NC 28025-4733
(704) 536-6853
(704) 445-4582
Mailing address
6900 FARMINGDALE DR, CHARLOTTE, NC 28212-5551
(704) 536-6853
(704) 536-6045
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8303191
—
NC
Enumeration date
10/02/2010
Last updated
09/20/2023
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