Provider Demographics
NPI:1386447720
Name:OVERCOMERS OF THE CAROLINAS LLC
Entity type:Organization
Organization Name:OVERCOMERS OF THE CAROLINAS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:MEANS
Authorized Official - Suffix:
Authorized Official - Credentials:CADCR, CPSS
Authorized Official - Phone:980-440-1211
Mailing Address - Street 1:1217 BEACHNUT LN
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28146-6010
Mailing Address - Country:US
Mailing Address - Phone:980-440-1211
Mailing Address - Fax:
Practice Address - Street 1:1217 BEACHNUT LN
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28146-6010
Practice Address - Country:US
Practice Address - Phone:980-440-1211
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health