Rys Rock Your Soul
Community/Behavioral Health in Hickory, NC. Organization (NPI-2).
NPI number1467293142
StatusActive
Last updated in NPPESJun 26, 2024
Details
- NPI
- 1467293142
- Entity type
- Organization (NPI-2)
- Legal business name
- Rys Rock Your Soul
- Organization subpart
- No
- Enumeration date
- Jun 5, 2024
- Certification date
- Jun 26, 2024
- Last updated
- Jun 26, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – |
Practice location
929 15th St Ne Ste 300Hickory, NC 28601-4162
Phone 206-330-3945
Mailing address
929 15th St Ne Ste 300Hickory, NC 28601-4162
Phone 206-330-3945
Authorized official
Rebecca Johnson-Das
Owner
2063303945
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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