Individual provider · Type 1 NPI

Tyeisha Nichole Hairston

Community/Behavioral Health Agency · Concord, NC

NPI number 1235009846 Active

Practice location

1000 Copperfield Blvd NE Ste 100, Ste 100
Concord, NC 28025-2454

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1235009846

Tyeisha Nichole Hairston's National Provider Identifier is 1235009846, issued on Nov 8, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Concord, NC. The record was last updated on Nov 8, 2025.