Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Concordia Support Services, LLC

Organization Developmentally Disabled Services Day Training Agency · NPI 1417045188

Concordia Support Services, LLC is a Developmentally Disabled Services Day Training Agency in Fayetteville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2315 Bloom Ave Ste 2
Fayetteville, NC 28304-6165
Phone: (910) 826-8253
Fax: (910) 826-8254
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X
Developmentally Disabled Services Day Training Agency Taxonomy 251C00000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL-067-156 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL-067154 (NC)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X · Licence MHL-047-070 (NC)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Taxonomy 320900000X

Record details

NPI number1417045188
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Meredith Nickelberry — Vice President · (910) 826-8253
NPI enumeratedOctober 10, 2006
Last updated in NPPESJune 25, 2009
Mailing addressPo Box 26108, Fayetteville, NC 28314-5018

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