Provider Demographics
NPI:1043308505
Name:H.Y.P.T.S., INC.
Entity Type:Organization
Organization Name:H.Y.P.T.S., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:704-913-8342
Mailing Address - Street 1:PO BOX 550426
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28055-0426
Mailing Address - Country:US
Mailing Address - Phone:704-766-1418
Mailing Address - Fax:704-766-1405
Practice Address - Street 1:1942 WILBURN PARK LANE
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269
Practice Address - Country:US
Practice Address - Phone:910-439-5810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8300215Medicaid