Individual provider · Type 1 NPI

Tieshia Shadia Jordan

Community/Behavioral Health Agency · Concord, NC

NPI number 1457222770 Active

Practice location

1030 Central Dr NW Ste A
Concord, NC 28027-2249

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 1457222770

Tieshia Shadia Jordan's National Provider Identifier is 1457222770, issued on Sep 17, 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 Sep 29, 2025.