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

Nova Family Outreach LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1962228486

Nova Family Outreach LLC is a Mental Illness Community Based Residential Treatment Facility in Winston Salem, North Carolina. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
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

3008 White Meadow Ln
Winston Salem, NC 27107-5541
Phone: (704) 968-2492
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X
Emotionally Disturbed Childrens' Residential Treatment Facility Taxonomy 322D00000X

Record details

NPI number1962228486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deanna Velazquez — Owner, Clinical Director · (704) 968-2492
NPI enumeratedNovember 30, 2024
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024
Mailing addressPo Box 668352, Charlotte, NC 28266-8352

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