TIERA ANDERSON – NPI #1407622459
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

TIERA ANDERSON is a community based residential treatment facility located in GASTONIA, NC. NPPES has assigned the NPI number 1407622459 to TIERA ANDERSON on November 30, 2023. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

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NPI Profile for
TIERA ANDERSON

NPI Number
1407622459
Enumeration Date

(more than 2 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
TIERA ANDERSON
Primary location
837 LYNAHVEN DRIVE
GASTONIA, NC 28052
Phone: (216) 903-6256 Fax:
Mailing address
837 LYNHAVEN DR
GASTONIA, NC 28052-7611
Phone: Fax:
Sole Proprietor
Yes
Updated
Certification Date
Nov 28, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)
NC 036371

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.