Self-Determination LLC
Self-Determination LLC is a Case Management Agency in Kings Mtn, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.
- Licensed in
- NC
- In the registry since
- 2009
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
103 Ebenezer RdKings Mtn, NC 28086
Phone: (704) 750-4752
Fax: (704) 750-4753
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X · Licence 023-197 (NC) |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
| Emotionally Disturbed Childrens' Residential Treatment Facility | Taxonomy 322D00000X · Licence 012-129 (NC) |
Record details
| NPI number | 1639408248 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Floydce Jefferies — President · (828) 433-0465 |
| NPI enumerated | December 9, 2009 |
| Last updated in NPPES | August 10, 2018 |
| Mailing address | 103 Ebenezer Rd, Kings Mtn, NC 28086-8762 |