· 8/28/2020 michael norton 919.904.0524 [email protected] jill queen...

25
2/23/2021 704.939.7879 704.301.5989 919.904.0524 704.783.6014 704.939.7792 704.939.7757 Provider Name Entity Type (Internal Only) County QM Staff Phone Email QM Staff Supervisor Name 3C Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes A Better Path, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton A Bridge to Achievement NC, LLC dba A Bridge to Achievement Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael Norton A Caring Alternative, LLC MSA Burke Rebecca Harris 704.213.1293 [email protected] Dana Frakes A Caring Heart Case Management, Inc. MSA Wilson Ron Aldridge 336.514.7419 [email protected] Michael Norton A Caring Home, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes A Moment for You, PLLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes A Place of Their Own MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton A Small Miracle Contracted Agency Wake Miguel Sabillon 980.475.9039 [email protected] Dana Frakes A Special Touch Group Home, Inc. Contracted Agency Pender Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes A Sure House, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael Norton ABC of NC Child Development Center Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael Norton Ablecare Corp Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael Norton ABS Utah, PC Contracted Agency Salt Lake Pam Hair 704.305.2097 [email protected] Dana Frakes Absolute Advocacy, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes Abundant Life, Inc. MSA Randolph Pam Hair 704.305.2097 [email protected] Dana Frakes Access Family Services, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes Achieving Changes Counseling Services, PLLC Contracted LIP Davidson Amy Berrier 336.608.8300 [email protected] Michael Norton ACI Support Specialists, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael Norton Acumen Fiscal Agent, LLC Contracted Agency Out of State Ursula Cornwell 704.785.7521 [email protected] Dana Frakes Adamu Salisu, MD, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana Frakes Addiction Recovery Medical Services, PLLC Contracted Agency Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael Norton Addictions Recovery Care Association (ARCA) Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton Adelphoi Village, Inc. MSA Latrobe Pam Hair 704.305.2097 [email protected] Dana Frakes Adolescent Alternatives, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael Norton Adult Life Programs, Inc. MSA Catawba Pam Hair 704.305.2097 [email protected] Dana Frakes Advance Behavioral Health Services, Inc. Contracted Agency Lenoir Tawanda Lewis 919.357.5564 [email protected] Michael Norton Advantage Care In Home Services Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael Norton Affinity Clinical Services, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes Affirmed Counseling, PLLC Contracted LIP Stanly Pam Hair 704.305.2097 [email protected] Dana Frakes AGAPE Home Living Care, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton Agape Psychological Consortium, LLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton Alamance Academy, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton Alamance Lifeworks EAP, LLC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael Norton Alberta Professional Services, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton Alcohol and Drug Services of Guilford, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael Norton Alexander Wilson, LPC, Inc. Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton Alexander Youth Network, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes Nina Davis Taffi Guinyard Cardinal Innovations Quality Assurance Manager Incident Report/IRIS Questions [email protected] [email protected] Cardinal Innovations Healthcare Regional Quality Management Provider Account Listing Cardinal Innovations Vice President of Quality Management Cardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance Manager Cardinal Innovations Quality Assurance Manager [email protected] [email protected] [email protected] [email protected] Onika Wilson Jill Queen Michael Norton Dana Frakes Please note that QMS assignments are subject to change. Page 1 of 25

Upload: others

Post on 18-Oct-2020

1 views

Category:

Documents


0 download

TRANSCRIPT

Page 1:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

3C Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

A Better Path, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

A Bridge to Achievement NC, LLC dba A Bridge to Achievement Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonA Caring Alternative, LLC MSA Burke Rebecca Harris 704.213.1293 [email protected] Dana FrakesA Caring Heart Case Management, Inc. MSA Wilson Ron Aldridge 336.514.7419 [email protected] Michael NortonA Caring Home, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesA Moment for You, PLLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesA Place of Their Own MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonA Small Miracle Contracted Agency Wake Miguel Sabillon 980.475.9039 [email protected] Dana FrakesA Special Touch Group Home, Inc. Contracted Agency Pender Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesA Sure House, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonABC of NC Child Development Center Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAblecare Corp Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonABS Utah, PC Contracted Agency Salt Lake Pam Hair 704.305.2097 [email protected] Dana FrakesAbsolute Advocacy, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAbundant Life, Inc. MSA Randolph Pam Hair 704.305.2097 [email protected] Dana FrakesAccess Family Services, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAchieving Changes Counseling Services, PLLC Contracted LIP Davidson Amy Berrier 336.608.8300 [email protected] Michael NortonACI Support Specialists, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonAcumen Fiscal Agent, LLC Contracted Agency Out of State Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAdamu Salisu, MD, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesAddiction Recovery Medical Services, PLLC Contracted Agency Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAddictions Recovery Care Association (ARCA) Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonAdelphoi Village, Inc. MSA Latrobe Pam Hair 704.305.2097 [email protected] Dana FrakesAdolescent Alternatives, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAdult Life Programs, Inc. MSA Catawba Pam Hair 704.305.2097 [email protected] Dana FrakesAdvance Behavioral Health Services, Inc. Contracted Agency Lenoir Tawanda Lewis 919.357.5564 [email protected] Michael NortonAdvantage Care In Home Services Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael NortonAffinity Clinical Services, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAffirmed Counseling, PLLC Contracted LIP Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesAGAPE Home Living Care, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonAgape Psychological Consortium, LLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAlamance Academy, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAlamance Lifeworks EAP, LLC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonAlberta Professional Services, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAlcohol and Drug Services of Guilford, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAlexander Wilson, LPC, Inc. Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonAlexander Youth Network, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Please note that QMS assignments are subject to change. Page 1 of 25

Page 2:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Alisa Ryan Young Contracted LIP Wayne Lenique Clark 704.437.8660 [email protected] Michael NortonAll God's Children of Burlington, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonAlliance Health and Home Care, LLC Contracted LIP Stanly Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAlloway Consulting PLLC. dba Center for Personal Growth Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAlmarch Counseling Services, PLLC Contracted LIP Group Wake Amy Berrier 336.608.8300 [email protected] Michael NortonAlpha Management Community Services, Inc. Contracted Agency Durham Lenique Clark 704.437.8660 [email protected] Michael NortonAlpha Management Services Contracted Agency Durham Lenique Clark 704.437.8660 [email protected] Michael NortonAlternative Behavioral Solutions, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonAlternative Living Solutions of North Carolina Contracted LIP Group Cabarrus Karen Glenn 336.403.4583 [email protected] Michael NortonAmanda Tabor EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAmara Wellness Services, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAMAT Group Homes, LLC MSA Harnett LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAmbleside Inc. Contracted Agency Greene Mandy Padgett 252.820.9854 [email protected] Michael NortonAmethyst Consulting and Treatment Solutions, PLLC Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAmy & Clinton Oster EOR Union Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAmy D. Foster d/b/a FOSTERING MINDS Contracted LIP Group Yadkin Karen Glenn 336.403.4583 [email protected] Michael NortonAmy F. Johnson Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAnderson Behavioral Health, Inc. dba Anderson Health Services Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesAnderson Counseling and Consulting Group, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesAndrews Counseling and Consulting, PLLC Contracted LIP Mecklenburg Ron Aldridge 336.514.7419 [email protected] Michael NortonAneesah Thomas, LPC (Moments Matter Therapeutic Solutions) Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAnew Balance Counseling Services, PLLC Contracted LIP Group Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonAngela Annas, LCSW Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonAngela Barber EOR Orange Karen Glenn 336.403.4583 [email protected] Michael NortonAngela Wiley, LPC dba Greensboro Dance & Drama Therapy Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonAngie Rowland, LPC Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonAnn Smolin, PhD, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAnother Chance Treatment Center Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAnother Level Counseling and Consultation, PLLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAnuvia Prevention & Recovery Center, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesApogee Homes Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonAppalachian Outpatient Services Contracted Agency Transylvania Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAriel Community Care, LLC Contracted Agency Caswell Karen Glenn 336.403.4583 [email protected] Michael NortonArise Destiny, LLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesARJ, LLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesARMC Physicians Care, Inc. dba Alamance Regional Psychiatric Associates Contracted LIP Group Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonArnold E. Nelson, PhD Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonArt of Therapy Center, PLLC MSA Gaston Simona Kelly 704.785.5609 [email protected] Dana FrakesAscend Psychological Services, PLLC Contracted LIP Group Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 2 of 25

Page 3:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

AT-Home Counseling Services Contracted LIP Group Franklin Tawanda Lewis 919.357.5564 [email protected] Michael NortonAutism Learning Partners, LLC Contracted Agency Los Angles Pam Hair 704.305.2097 [email protected] Dana FrakesAutism Services Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonAutism Services of Mecklenburg County Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesAutism Society of North Carolina Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonAva Annette Horsley EOR Davidson Karen Glenn 336.403.4583 [email protected] Michael NortonAvalonia Group Homes, Inc. MSA Out of State Ursula Cornwell 704.785.7521 [email protected] Dana FrakesAzure Psychotherapy, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesB and D Behavioral Health Services Contracted Agency Durham Lenique Clark 704.437.8660 [email protected] Michael NortonB’s Effort Changing Counseling, PLLC Contracted LIP Group Salisbury Rebecca Harris 704.213.1293 [email protected] Dana FrakesBAART Community Healthcare, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonBalance NC, LLC Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesBaptist Children's Home of NC, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonBarium Springs Home for Children Contracted Agency Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonBathory International, PLLC Contracted LIP Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonBayada Home Health Care, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesBe Well Therapy, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesBe Whole Counseling and Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBeatties Ford Road Vocational Trade Center dba Beatties Ford Road Family Counseling Center Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesBeautiful Mind Behavioral Health Services, PLLC Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonBehavior Consultation and Psychological Services, PLLC Contracted Agency Pitt Mandy Padgett 252.820.9854 [email protected] Michael NortonBehavioral Assessment Services, PLLC Contracted LIP Cabarrus LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesBehavioral Services, Inc. Contracted Agency Surry Amy Berrier 336.608.8300 [email protected] Michael NortonBehavioral Transformations of NC MSA Wake Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Bert Lester Bennett, III dba Carolina Piedmont Psychological Associates Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonBest Day Psychiatry and Counseling, PC Contracted LIP Group Cumberland Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBetter Connections, Inc. Contracted Agency Edgecombe Mandy Padgett 252.820.9854 [email protected] Michael Norton

Better Days AHEAD of Rocky Mount, Inc. Contracted Agency Edgecombe Lenique Clark 704.437.8660 [email protected] Michael NortonBeyond Challenges Community Services, LLC Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael NortonBHWC, LLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBIP - Behavior Intervention Professionals of the Triangle, PLLC Contracted LIP Group Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonBlack and Associates Global, Inc. (Our Home) Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonBluestone Psychotherapy, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesBlueWest Opportunites, Inc. Contracted Agency Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBobby Stillwagoner EOR Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonBody & Soul Total Wellness, PLLC MSA Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonBonnie Barnett Murphy, LMFT Contracted LIP Granville Mandy Padgett 252.820.9854 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 3 of 25

Page 4:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Boys and Girls Homes of North Carolina, Inc. MSA Columbus Simona Kelly 704.785.5609 [email protected] Dana FrakesBrad Heinz, PhD Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonBreak Out, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonBridges Therapeutic Services, PLLC Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesBridging The Gap Residential Services, LLC Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonBrighter Days Counseling Services Contracted LIP Group Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesBroadstep Academy - South Carolina, Inc. Contracted Agency Out of State PRTF Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Broadview Health, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesBroken Pieces Services, LLC Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesBrothers Community Resources, LLC Contracted Agency Granville Lenique Clark 704.437.8660 [email protected] Michael NortonBrown Clinical Services Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesBrynn Marr Hospital, Inc. Contracted Agency Onslow Miguel Sabillon 980.475.9039 [email protected] Dana FrakesBuilding Endurance, PLLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesBurlington Pediatrics, PA Contracted LIP Group Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonBurston's Consulting and Counseling Services, LLC Contracted LIP Group Rockingham Karen Glenn 336.403.4583 [email protected] Michael Norton

Butterfly Effects, LLC Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonBWELL Services, LLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesByrd Counseling & Consulting Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesC&M Behavioral Health, PLLC Contracted LIP Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonC. Richardson Counseling and Consulting, PLLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCabarrus County Group Homes, Inc. Contracted Agency Rowan Simona Kelly 704.785.5609 [email protected] Dana FrakesCamino Community Development Corporation, Inc. dba Bethesda Health Cente Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCano Family Services, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCAPS 4 U, Inc. Contracted LIP Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCaramore Community, Inc. Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonCare Well of Charlotte, NC, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCarenet Inc. dba Baptist Hospital Carenet Counseling Center Contracted LIP Group Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCaring Hands and Supplementary Enrichment Education, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCarolina Behavioral Care, PA Contracted LIP Group Moore Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCarolina Center for Autism Services, LLC dba Carolina Center for ABA and Autism Treatment Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCarolina Child Psychology, PLLC Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonCarolina Community Behavioral Services, LLC Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCarolina Community Support Services, Inc. Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonCarolina Concierge Therapeutics, PLLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesCarolina Enhancement Services, LLC Contracted Agency Caswell Ron Aldridge 336.514.7419 [email protected] Michael NortonCarolina Family Alliance Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCarolina Outreach, LLC Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 4 of 25

Page 5:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Carolina Parenting Solutions, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCarolina Residential Services, Inc. Contracted Agency Caldwell Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCarolina Solution, Inc. Contracted Agency Hoke Tawanda Lewis 919.357.5564 [email protected] Michael NortonCarolina Therapeutic Services First, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCarolina Therapeutic Services, Inc. Contracted Agency Gaston Simona Kelly 704.785.5609 [email protected] Dana FrakesCarolinaEast Medical Center MSA Craven Amy Berrier 336.608.8300 [email protected] Michael NortonCarolina's Creative Counseling, PA Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCarolinas Interactive Therapy, LLC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCarolina's Therapy Solutions, PA Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCaroMont Medical Group dba CaroMont Psychiatric Associates Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCathartic Counseling Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCauthen Counseling and Consulting, PLLC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCenter for Emotional Health P.C. Contracted LIP Group Cabarrus LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCenter for Family & Maternal Wellness, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCenter for Pediatric Behavioral Health, PLLC MSA New Hanover Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCenter for Prevention Services Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCentral Community Services, LLC Contracted Agency Granville Lenique Clark 704.437.8660 [email protected] Michael NortonChampion Family Healthcare Services, LLC dba Keston Care Contracted Agency Chatham Ron Aldridge 336.514.7419 [email protected] Michael NortonChapel Hill Training Outreach Project, Inc. Contracted Agency Orange Ron Aldridge 336.514.7419 [email protected] Michael NortonCharles Hines & Son, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonCharles Purvis EOR Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesChatham County Group Homes, Inc. Contracted Agency Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonChatham Recovery LLC Contracted Agency Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonChatham Trades, Inc. Contracted Agency Chatham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonChildren's Home Society of North Carolina, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonChoose Life Counseling Services, PLLC Contracted LIP Group Surry Amy Berrier 336.608.8300 [email protected] Michael NortonChristen Verrori EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana FrakesChristian Fisher, LLC Contracted LIP Chatham Tawanda Lewis 919.357.5564 [email protected] Michael NortonChristian's House of Hope, Inc. MSA Five County Miguel Sabillon 980.475.9039 [email protected] Dana FrakesChristopher Abbey, LPC Contracted LIP Rowan Miguel Sabillon 980.475.9039 [email protected] Dana FrakesChrysalis Counseling (Kandace Noelle Koontz Perryman, LPC) Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonChrysalis Development Solutions, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesClaudia Melton, LPC, RPT. Contracted LIP Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonClear Sky Behavioral, LLC MSA McDowell Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCliff Anderson, LPC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesClimbing Jacob's Ladder, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonClinicians of Mecklenburg, LLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesClub Nova Community, Inc. Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 5 of 25

Page 6:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

CNC/ACCESS Inc. dba ResCare HomeCare Contracted Agency Forsyth LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCoastal Behavior Health Services, Inc. Contracted Agency Cumberland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCoastal Horizons Center, Inc. Contracted Agency Pender Rebecca Harris 704.213.1293 [email protected] Dana FrakesCoastal Southeastern United Care, LLC MSA Brunswick LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCollaborative Hope Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesCommunity Advancement Agency, LLC Contracted Agency Gaston Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCommunity Alternatives dba Community Choices, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesCommunity Assisted Residential Environment (C.A.R.E.) Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonCommunity Care Service, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCommunity Counseling Services, PC Contracted Agency Person Ron Aldridge 336.514.7419 [email protected] Michael NortonCommunity Innovations Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonCommunity Link Counseling Services, LLC (formally Amelia Williams) Contracted LIP Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonCommunity Specialized Services, Inc. Contracted Agency Cabarrus Chuckey Aiken 704.305.4821 [email protected] Dana FrakesCommunity Support Service, LLC Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonCommunity Workforce Solutions, Inc. Contracted Agency Vance Tawanda Lewis 919.357.5564 [email protected] Michael NortonCompassionate Care of North Carolina, LLC Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonComplete Well-Care Care Source, LLC MSA Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesComprehab, Inc. Contracted Agency Cabarrus Chuckey Aiken 704.305.4821 [email protected] Dana FrakesComprehensive Community Care, Inc. Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonComServ, Inc. Contracted Agency Caldwell Chuckey Aiken 704.305.4821 [email protected] Dana FrakesConcrete Roses Life Center Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesConnect Center for Wellness, PLLC Contracted LIP Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonConnecting the DOTS Treatment Services and Consultation Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesConsejeria Ruiz, PLLC (Naneth Ruiz, MA, LPCA, LCASA) Contracted LIP Group Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonContinuum Care Services, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCook EOR Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesCora Strickland, LPC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonCore Essentials, LLC Contracted LIP Group Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCorine's Care Management, Inc. MSA Greene Mandy Padgett 252.820.9854 [email protected] Michael NortonCornelia Pringle dba ATRA Counseling Services, PLLC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCornerstone Health Care, LLC/ Cornerstone Behavioral Medicine/ Cornerstone Psychiatry Contracted LIP Group Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesCornerstone Healthcare Services, Inc. MSA Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCornerstone Psychological Services, PA Contracted LIP Group Caswell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCornerstone Treatment Facility Program, Inc. Contracted Agency Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesCornerstone Treatment Facility, Inc. Contracted Agency Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesCotswold Clinician Support Services, LLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesCounseling Services, Inc. MSA Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonCounseling Wellness & Health, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 6 of 25

Page 7:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Covenant Case Management Services, LLC. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesCozie's Supervised Living MSA Randolph Pam Hair 704.305.2097 [email protected] Dana FrakesCraig Hunt Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCrandell's Enterprises, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonCreative Counseling and Learning Solutions, PLLC Contracted LIP Group Stanly Simona Kelly 704.785.5609 [email protected] Dana FrakesCreative Counseling and Wellness Center Corporation Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonCreative Management Source, Inc. MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonCriSys, LLC Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesCross River NC Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonCrossroads Treatment Center of Greensboro, PC Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonCrystal E. Nickerson dba Choice Behavioral Health & Consultation Services MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonCW Counseling Services, Inc. Contracted LIP Group Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonCynthia D. Edwards, LCSW Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonDani Johnson EOR Chatham Karen Glenn 336.403.4583 [email protected] Michael NortonDaniel P. Anthony, LPC dba Counseling Center at Providence Place Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonDavid L. Mount, LP dba Mind Body Institute Beyond Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonDavid Rademacher, MA, Inc. Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Davidson Homes, Inc. Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana FrakesDay by Day Family Services, LLC Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesDAYMARK Recovery Services, Inc. Contracted Agency Cabarrus Karen Glenn 336.403.4583 [email protected] Michael NortonDebby Huie Counseling, PLLC Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesDee &G Enrichment Center, LLC MSA Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Delores Byrd/ Representative Justine Gladden- EOR Union Pam Hair 704.305.2097 [email protected] Dana Frakes

Delta Behavioral Group, PLLC.Contracted Agency Cabarrus Pam Hair 704.305.2097 [email protected]

Dana FrakesDenice M. Greene, LPC. Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesDenisa Hannah EOR Warren Lenique Clark 704.437.8660 [email protected] Michael NortonDenise D. Mitchell, LCSW Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Desired Solutions and More, Inc. Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Despina Karras EOR Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesDevelopmental Disabilities Resources, Inc. Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesDiamonds Community Based Services, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesDiligent Care, Inc. MSA Moore Miguel Sabillon 980.475.9039 [email protected] Dana FrakesDiverse Family Services, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonDIVERSIFIED CHOICE Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonDr. Joseph V. Libera, PT Contracted LIP Caswell Karen Glenn 336.403.4583 [email protected] Michael NortonDr. Silva de Souza, PLLC dba Higher Ground Psychological Services Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 7 of 25

Page 8:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Dr. Tobias E. LaGrone, D. Min., Past. C., ICAADC, MAC, LCAS Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonDragonfly Children's Advocacy Center Contracted LIP Group Davie Amy Berrier 336.608.8300 [email protected] Michael NortonDream Makers Assisted Living Services, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonDurham Exchange Club Industries, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonEach One Reach One Two Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesEagle Healthcare Services, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonEason Court Group Home, LLC Contracted Agency Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonEaster Seals UCP North Carolina & Virginia, Inc. Contracted Agency Wake Ron Aldridge 336.514.7419 [email protected] Michael NortonEboni Lanier Jones, LCSW Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonEchelon Consulting, Inc. dba Echelon Care Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesEclectic Therapeutic Connections, PLLC Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonEDH1, LLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesEducare Community Living Corporation of North Carolina dba Community Alternatives Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonEdward Curlee, LPC, LCAS MSA Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonEdwards' Assessment and Counseling, Inc. Contracted Agency Halifax Mandy Padgett 252.820.9854 [email protected] Michael NortonEdwards Community Support Services, Inc. MSA Greene Mandy Padgett 252.820.9854 [email protected] Michael Norton

El Futuro, Inc.Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected]

Michael NortonElaina Terry, MA, LPC, NCC Contracted LIP Granville Lenique Clark 704.437.8660 [email protected] Michael NortonElevated Family Services, LLC Contracted Agency Forsyth Ron Aldridge 336.514.7419 [email protected] Michael NortonEliada Homes, Inc. Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana FrakesElite Care Services, Inc. Contracted Agency Stanly Simona Kelly 704.785.5609 [email protected] Dana FrakesElite Healthcare Group, Inc. Contracted Agency Forsyth Simona Kelly 704.785.5609 [email protected] Dana FrakesElizabeth Fouts EOR Orange Amy Berrier 336.608.8300 [email protected] Michael NortonE-Motions Family Services, Inc. Contracted Agency Forsyth Angela Gill-Graham 704.305.4871 [email protected] Michael NortonEmpowerment Quality Care Services, LLC. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesEnhancement Health Care, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonEnjonae Anderson dab Mended Hearts Counseling Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonEnvisions of Life, LLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonEpiphany Care Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesEpiphany Family Services, LLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesEric Hall, Representative Karen Hall EOR Union Pam Hair 704.305.2097 [email protected] Dana FrakesEssential Assessments and Behavioral Health, PLLC Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesEventus Whole Health, PLLC Contracted LIP Group Cabarrus Rebecca Harris 704.213.1293 [email protected] Dana FrakesExceptional Family Support Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton

Exclusive Caring Partners, LLC Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesF.I.R.S.T. Contracted Agency Buncombe Miguel Sabillon 980.475.9039 [email protected] Dana FrakesFaith Counseling and Clinical Consultation Services, PLLC Contracted LIP Chowan Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 8 of 25

Page 9:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Faith Medical Center, PC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Falcon Crest Residential Care, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonFamilies First Support Services, LLC MSA Cleveland Simona Kelly 704.785.5609 [email protected] Dana FrakesFamily Advantage, LLC Contracted Agency North Hampton Lenique Clark 704.437.8660 [email protected] Michael NortonFamily Behavioral Health Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonFamily Connections Counseling, PC Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonFamily First Community Services, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesFamily Medicine & Rehabilitation Center, P.C. Contracted LIP Group Wayne Lenique Clark 704.437.8660 [email protected] Michael NortonFamily Preservation Community Services Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonFamily Preservation Services of North Carolina, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesFamily Service of the Piedmont, Inc. Contracted LIP Group Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFamily Services of America Corp. Contracted Agency Cumberland Simona Kelly 704.785.5609 [email protected] Dana FrakesFamily Services of Davidson County, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFamily Services, Inc. Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonFamily Solutions, PLLC Contracted LIP Group Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFast Braiin Oxford, LLC Contracted LIP Group Granville Lenique Clark 704.437.8660 [email protected] Michael NortonFayetteville Street Community Living Home, LLC Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael Norton

Fidelity Community Support Group, Inc. Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonFinding Solutions, Inc. Contracted LIP Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesFirst Genesis Family Services, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFirst Step Community Services, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonFishback Psychological Services, PC Contracted LIP Group Rowan Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Fleshia W. Smalls dba Grace for Today Counseling and Community Service MSA Caswell Mandy Padgett 252.820.9854 [email protected] Michael NortonFocus Behavioral Health Services, LLC Contracted Agency Burke Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Forsyth County DSS Contracted LIP Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonForward Journey, PLLC Contracted LIP Group Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonFoster's Care Facility, LLC Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonFreedom House Recovery Center, Inc. Contracted Agency Orange Lenique Clark 704.437.8660 [email protected] Michael NortonFreida and Graham Johnson Contracted Agency Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesFresh Start Today, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonFRIENDLY PEOPLE THAT CARE, LLC Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonFullScope Counseling Services, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesFuture Vision/Vision House, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonGantt Youth and Family Services, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesGaston Adolescent Center, Inc. Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesGaston Skills Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesGenesis Project 1, Inc. Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 9 of 25

Page 10:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Genesis Residential Care Center, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonGenesis.. A New Beginning, Inc. Contracted LIP Group Cabarrus LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesGeneva A. Henderson/Geneva A. Henderson MA, LPC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesGentleHands of North Carolina, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonGeorge Popper, PH.D Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesGetting Ready, Inc. Contracted Agency Halifax Ron Aldridge 336.514.7419 [email protected] Michael NortonGHA Autism Supports Contracted Agency Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesGive Grace Youth & Family Counseling, PLLC Contracted LIP Forsyth Mandy Padgett 252.820.9854 [email protected] Michael NortonGrandfather Home for Children, Inc. Contracted Agency Avery Angela Gill-Graham 704.305.4871 [email protected] Michael NortonGreen Valley Haven, LLC MSA Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonGreg Yousey, MA, LPA Contracted LIP Rowan Rebecca Harris 704.213.1293 [email protected] Dana FrakesGuardian Angel Healthcare, LLC Contracted Agency Vance Tawanda Lewis 919.357.5564 [email protected] Michael NortonH&W Enterprises of NC, LLC Contracted LIP Group Davie Amy Berrier 336.608.8300 [email protected] Michael NortonHANDS Center for Autism, LLC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonHarmony Health, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesHarvest Focused & Consulting Services, LLC Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonHealing Helpers Therapeutic Services, PLLC Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonHealthy Moral Homes, LLC Contracted Agency Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonHealthy Transformations Counseling, PC Contracted LIP Group Edgecombe Lenique Clark 704.437.8660 [email protected] Michael NortonHeartSpring, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesHeather Johnson EOR Chatham Ron Aldridge 336.514.7419 [email protected] Michael NortonHelping Hands MH/DD Services, LLC Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonHerbert Way of Living, LLC MSA Guilford Mandy Padgett 252.820.9854 [email protected] Michael NortonHicks House of Care, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonHigher Aspiration Behavioral Healthcare, LLC Contracted LIP Group Granville Lenique Clark 704.437.8660 [email protected] Michael NortonHillsborough Recovery Solutions, PC Contracted Agency Orange Karen Glenn 336.403.4583 [email protected] Michael NortonHind's Feet Farm, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesHolly Gammon Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonHolly Rickman EOR Orange Angela Gill-Graham 704.305.4871 [email protected] Michael NortonHolt Assessment Services, LLC Contracted Agency Halifax Mandy Padgett 252.820.9854 [email protected] Michael NortonHoly Angels, Inc. Contracted Agency Gaston Ursula Cornwell 704.785.7521 [email protected] Dana FrakesHome for Family Intimacy, PLLC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesHome Rule, LLC MSA Catawba Pam Hair 704.305.2097 [email protected] Dana FrakesHomeCare Management Corp. Contracted Agency Iredell Chuckey Aiken 704.305.4821 [email protected] Dana FrakesHomer Edward Wright EOR Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonHope Center, LLC Contracted LIP Group Rowan Chuckey Aiken 704.305.4821 [email protected] Dana FrakesHope Colen Eor Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonHOPE Counseling & Consulting Services, Inc. Contracted LIP Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonHope Haven, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 10 of 25

Page 11:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Hope Services, LLC Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonHope Street Group Home LLC MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonHope Valley, Inc. Contracted Agency Surry Karen Glenn 336.403.4583 [email protected] Michael NortonHorizons Residential Care Center, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonHosford & Welsh Services, LLC Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesHouse of Care, Inc.. MSA Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonHouse of Support Counseling Services, PLLC Contracted LIP Group Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonHughes Center, LLC dba The Hughes Center for Exceptional Children MSA Danville City Rebecca Harris 704.213.1293 [email protected] Dana FrakesHuntersville Counseling Center, PLLC Contracted LIP Group Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesI Innovations, Inc. MSA Lee Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesI.C.A.R.E. Counseling Services (formerly Miranda Peoples, LPC) Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonIdeal Response Services, LLC Contracted Agency Vance Ron Aldridge 336.514.7419 [email protected] Michael NortonIdella's Care Homes, LLC MSA Pitt Mandy Padgett 252.820.9854 [email protected] Michael NortonImpact Carolina Services, Inc. Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesInclusion Counseling Services, LLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonIndependent Case Management, Inc. Contracted Agency Chatham Karen Glenn 336.403.4583 [email protected] Michael NortonIndependent Opportunities, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesInfinite Possibilities, Inc. Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonInner Renovations Counseling, PLLC MSA Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonInner Transformation Therapeutic Services, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesInnerVision, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesInnovacion Counseling Services (Madrid, Alex) Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesInnovative Compliance Solutions, LLC MSA Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesInnovative Counseling Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesInnovative Lifestyle Network, LLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesInnovative Support Services Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesInPatient Consultants of North Carolina, P.C. Contracted LIP Group Wake Rebecca Harris 704.213.1293 [email protected] Dana FrakesInReach, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesInsight Human Services Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonInsight Professional Counseling Services, PLLC Contracted LIP Group Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonInspirationz, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonInstitute of Art Therapy Contracted LIP Group Orange Mandy Padgett 252.820.9854 [email protected] Michael NortonIntegrated Behavioral Health Management, Inc. Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesIntegrated Behavioral Healthcare Services, PA MSA Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

Integrated Family Services, PLLC Contracted Agency Hertford Lenique Clark 704.437.8660 [email protected] Michael NortonIntegrative Therapeutic Counseling Services Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesIntelliChoice Staffing, LLC Contracted Agency Pitt Lenique Clark 704.437.8660 [email protected] Michael Norton

Invictus of NC, Inc. Previously, Mills Counseling, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 11 of 25

Page 12:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Irenic Therapy, PLLC Contracted LIP Group Caswell Amy Berrier 336.608.8300 [email protected] Michael NortonJ.L. Redford, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonJ-1 Consultants, LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonJackie Petty, MA, LPC dba Child and Family Therapy Contracted LIP Lee Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJacobs Counseling, Inc. Contracted LIP Group Lee Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJaesan, PC Contracted LIP Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJamie Lee Washington Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonJamila Freeman EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana FrakesJanice E. Helms, LPC Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesJeff Hinton EOR Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesJeremy Verrori EOR Alamance Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Jessica Jeremiah dba Lakeside Psychotherapy, Trauma & Addiction Counseling Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Jewel Community Care, LLC Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael Norton

Jewish Family Services of Greater Charlotte, Inc. Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesJireh's Place Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

JM Counseling and Support Services, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

JMJ Enterprises, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonJoanne M. Schaffer, MSW, LCSW, PA Contracted LIP Franklin Tawanda Lewis 919.357.5564 [email protected] Michael NortonJodi Province Counseling, PLLC Contracted LIP Group Wilkes Amy Berrier 336.608.8300 [email protected] Michael NortonJohn David Shanks, LCSW Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonJohnson Counseling and Family Services, PLLC Contracted LIP Group Rowan Simona Kelly 704.785.5609 [email protected] Dana FrakesJohnson's House of Hope and Family Care Home MSA Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonJonathan Jay Esslinger, LPC MSA Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana Frakes

Joseph’s Community Support Services, Inc. MSA Lenoir Ron Aldridge 336.514.7419 [email protected] Michael NortonJOURNEYS COUNSELING CENTER PROFESSIONAL CORPORATION (SHIRENA SMITH) Contracted LIP Group Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonJudith Dickens, LPC MSA Wake Mandy Padgett 252.820.9854 [email protected] Michael Norton

Julie Daul, LCSW Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonJust In Time Youth Services, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonKandace Andrews, LCMHC Contracted LIP Mecklenburg Pam Hair 704.305.2097 [email protected] Dana Frakes

Karen A. Rose, LCSW Contracted LIP Davie Amy Berrier 336.608.8300 [email protected] Michael NortonKaryetta L. Walker dba New Season Clinical Services Contracted LIP Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonKatherine Eden Contracted LIP Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonKathy Kirstner Contracted LIP Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonKatie Schroeder, MSW, LCSW Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonKelly K. Anthony, PH.D. PLLC Contracted LIP Durham Mandy Padgett 252.820.9854 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 12 of 25

Page 13:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Kernersville Counseling Center, PLLC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonKernersville Psychological Evaluation Services, PLLC. Contracted LIP Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesKerr Homes, Inc. Contracted Agency Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesKeshawn McCleod, LCSW Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonKevin and Theresa Trout EOR Granville Lenique Clark 704.437.8660 [email protected] Michael NortonKeys to Recovery Counseling Services, PLLC Contracted LIP Franklin Mandy Padgett 252.820.9854 [email protected] Michael NortonKids On Up Psychotherapy, Inc. dba Solomon Kobes, LCSW Contracted LIP Group Orange Ron Aldridge 336.514.7419 [email protected] Michael Nortonp , Care and Community Programs Contracted Agency

Out of State, sites in Durham Cumberland Wake

Lenique Clark 704.437.8660 [email protected] Michael NortonKimberly A. Scott, LCSW Contracted LIP Franklin Mandy Padgett 252.820.9854 [email protected] Michael NortonKMG Holdings, Inc. Contracted Agency Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonKnew Era Consulting, PLLC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Kopper Top Life Learning Center, Inc.Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected]

Michael NortonKris Sarrantonio EOR Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesKristen Busick Sparks EOR Orange Amy Berrier 336.608.8300 [email protected] Michael NortonL & J Homes, Inc. Contracted Agency Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonL&B Counseling (Morrow, Trent) Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLa Keisha Lighty, MSW, LCSW MSA Pasquotank Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLake Norman Psychological Services, PLLC Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLakisha Harris dba Harris Counseling and Coaching Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesLaquana Richmond, LPC, LCAS, CCS, CSOTP Contracted LIP Chatham Ron Aldridge 336.514.7419 [email protected] Michael NortonLaverne's Haven Residential Home Services, LLC Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonLDH Counseling and Consulting, PLLC MSA Cleveland Pam Hair 704.305.2097 [email protected] Dana FrakesLeaders of Tomorrow, LLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLe'Chris Health Systems dba Le'Chris Behavioral Health Contracted Agency Edgecombe Mandy Padgett 252.820.9854 [email protected] Michael NortonLegacy Empowerment Services, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesLegacy Human Services, Inc. Contracted Agency Vance Tawanda Lewis 919.357.5564 [email protected] Michael NortonLiasons Community Care, LLC MSA Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLiberty Corner Enterprises, Inc. MSA Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana FrakesLife and Wellness Counseling and Consulting, PLLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesLife Enrichment Center of Cleveland County, Inc. Contracted Agency Cleveland Miguel Sabillon 980.475.9039 [email protected] Dana FrakesLife Opportunities Therapeutic Home Services, LLC MSA Robeson Chuckey Aiken 704.305.4821 [email protected] Dana FrakesLife Solutions Consulting, LLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesLife, Inc. Contracted Agency Wayne Tawanda Lewis 919.357.5564 [email protected] Michael NortonLifeChanges Family Guidance & Wellness, Inc. Contracted LIP Davidson Karen Glenn 336.403.4583 [email protected] Michael NortonLifeQuest, Inc. MSA Beaufort LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesLifesource of North Carolina, Inc. Contracted LIP Group New Hanover Simona Kelly 704.785.5609 [email protected] Dana FrakesLifespan, Inc. Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 13 of 25

Page 14:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Lilyco Services, LLC Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonLinda Montgomery EOR Stokes Karen Glenn 336.403.4583 [email protected] Michael NortonLindley Habilitation Services, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonLittle Gerald Services, LLC Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesLive Your Life CLT Counseling, PLLC dba Vida Counseling Center Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesLolly Therapeutics, LLC dba Pediatric Advanced Therapy Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLorven Child and Family Development, LLC Contracted LIP Group Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesLSJ Counseling and Clinical Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesLSM Enterprizes Inc. dba Disability Management Services Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonLucy Daniels Center for Early Childhood Contracted LIP Group Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonLutheran Family Services in the Carolinas Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesLutrino Blalock, MA, LPA Contracted LIP Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonLYDIA'S HOME, LLC PHASE I Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonLynette Johnson EOR Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonLynn Norton-Ramirez EOR Orange Karen Glenn 336.403.4583 [email protected] Michael NortonM & M Special Services Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMacBill, Inc. MSA Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesMACTA, Inc. MSA Nash Mandy Padgett 252.820.9854 [email protected] Michael NortonMajestic Solutions, LLC MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonManaging Overwhelming Moments, LLC Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonMarc Goldman Contracted LIP Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonMarguerita Sitrin Blaker, PA Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMarilyn Grubbs dba Healing Hearts Contracted LIP Orange Ron Aldridge 336.514.7419 [email protected] Michael NortonMarilyn Morgan, LPMHC, LPCC MSA Brunswick Chuckey Aiken 704.305.4821 [email protected] Dana FrakesMarina L. Ervin, MS, LPC, NCC, BCPCC Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonMark S. Cadavero, LCSW Contracted LIP Cherokee Rebecca Harris 704.213.1293 [email protected] Dana FrakesMarsh's Residential Living MSA Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMary Willis Page, MA, LPA Contracted LIP Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMasterPeace Counseling and Development Center Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesMatchbox Health Services Corporation Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonMaxim Healthcare Services, Inc. Contracted Agency Guilford Lenique Clark 704.437.8660 [email protected] Michael NortonMcCloud Acosta Clinical Services, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesMcDaniel Homes, LLC Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonMcLeod Addictive Disease Center, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMcNiel Family Counseling & Services, LLC. Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesMecklenburg County Community Support Services Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMedTrac Solutions Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMelissa Stopa EOR Orange Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMelody Poli EOR Franklin Lenique Clark 704.437.8660 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 14 of 25

Page 15:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Melvin R. Battle, LPC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMental Health Associates of the Triad Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonMeridian Behavioral Health Services, Inc. MSA Jackson Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMeridian Support Services, LLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesMetis Counseling Group, PLLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonMichelle Cannon/ Representative Dale Cannon EOR Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonMichelle Wellborn EOR Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonMichelle Whitfield, LCSW Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonMilling Manor, Inc. Contracted Agency Davie Amy Berrier 336.608.8300 [email protected] Michael NortonMiracle Houses, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMiracles Healing Center, Inc. Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonMiranda Meaders, MA, LPA Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesMiranda Page Morgan, LCSW Contracted LIP Orange Karen Glenn 336.403.4583 [email protected] Michael NortonMirror 2 the Heart, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesModern Treatment Healthcare Services, PLLC Contracted LIP Burke LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesMoments Matter Therapeutic Solutions (fka Aneesah Thomas, LPC) Contracted LIP Group Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonMonarch Contracted Agency Stanly Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMonroe Therapy Services, PLLC Contracted LIP Group Union Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesMore Than Conquerors Youth Center Contracted Agency Granville Lenique Clark 704.437.8660 [email protected] Michael Norton

Morgan Support Services, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonMorse Clinic of North Raleigh, PC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonMorse Clinic of Roanoke Rapids, PC Contracted Agency Halifax Tawanda Lewis 919.357.5564 [email protected] Michael NortonMorse Clinic of Zebulon, PC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Mosaic Group, LLC dba Mosaic Pediatric Therapy, LLC Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMoss Counseling Services, PLLC (Moss, Beverly) Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesMulticultural Resources Center, Inc. Contracted Agency Cumberland Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesMulti-Therapeutic Services, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonMy B.R.O.T.H.E.R.S. House, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesMy Therapy Place, PLLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonNazareth Children's Home, Inc. Contracted Agency Rowan Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNC Division of Vocational Rehabilitation Services dba Assistive Technology Program Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonNeal Counseling Services, PLLC Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNekisha Williams dba Access Counseling Services, PLLC Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonNelitza Gonzalez dba New Bridge Counseling Services Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonNeuropsychiatric Care Center, PLLC Contracted LIP Group Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonNeuse Enterprises, Inc. MSA Lenoir Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Nevins, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 15 of 25

Page 16:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

New Beginnings Day Treatment Center, LLC Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonNew Beginnings Group Home Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonNew Destinations, Inc. Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonNew Hope Carolinas, Inc. Contracted Agency Out of State- Charleston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesNEW HORIZONS ADULT DAY SERVICES Contracted Agency Yadkin Amy Berrier 336.608.8300 [email protected] Michael NortonNew Leaf Adolescent Care, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesNew Leaf Behavioral Health, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonNew Mentality P.C. Contracted LIP Group Iredell Pam Hair 704.305.2097 [email protected] Dana FrakesNew Place, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNew Possibilities Homes for Children, LLC Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonNew Vision Therapy, PLLC Contracted LIP Group Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonNo Bounds Care, Inc. Formerly K'nCryst Healthcare Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesNorth Carolina Life of Rehabilitation, Inc. Contracted Agency Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesNorth Carolina Neuropsychiatry, PA Contracted LIP Group Orange Karen Glenn 336.403.4583 [email protected] Michael NortonNorth Carolina Outreach Group Homes, LLC Contracted Agency McDowell Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNorthern Piedmont Counseling, PLLC Contracted LIP Group Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesNOVA Inc. Contracted Agency Lenoir Mandy Padgett 252.820.9854 [email protected] Michael NortonNow Counseling and Consulting Services Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesNSC Behavioral Concepts, LLC Contracted Agency Rowan Chuckey Aiken 704.305.4821 [email protected] Dana FrakesNuMe Counseling & Consulting, LLC Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonNuVizions, LLC Contracted Agency Hertford Tawanda Lewis 919.357.5564 [email protected] Michael NortonOasis Clinical Care Management, LLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesOasis: A Holistic Network, LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonOctober Road, Inc. MSA Buncombe Ursula Cornwell 704.785.7521 [email protected] Dana FrakesOE Enterprises, Inc. Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonOliver's Contracting Consulting & Counseling Services (White, Janet) Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesOmni Visions, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonOna's Place, Inc. MSA Buncombe Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesOne Love Periodic Services, Inc.. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesOne On One Care, Inc. MSA Cleveland LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesOpen Door Psychological Services, PLLC (Glascock, Valerie) Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesOptimal Behavioral, PLLC Contracted Agency Halifax Ron Aldridge 336.514.7419 [email protected] Michael NortonOptimal Behavioral, PLLC Contracted Agency Halifax Tawanda Lewis 919.357.5564 [email protected] Michael NortonOuter Planetary Touch, Inc. dba Brighterday Theraplay Contracted LIP Group Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesOutreach Management Services, LLC MSA Gaston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesOutward Bound Community Services Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonP&G Clinical Services, PLLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesP&W Group, LLC Contracted Agency Vance Mandy Padgett 252.820.9854 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 16 of 25

Page 17:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Paramount Holistic Mental Wellness, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPath of Hope, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPathways for People, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonPathways Group Homes, LLC MSA Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesPathways to Life, Inc. Contracted Agency Pitt Lenique Clark 704.437.8660 [email protected] Michael NortonPatricia O. Sprouse, LPC Contracted LIP Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonPatrick Shawn Murphy, MA, LPC, NCC Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Peaceful Places, Inc. Contracted LIP Cabarrus Rebecca Harris 704.213.1293 [email protected] Dana FrakesPeaceful Soul Counseling and Group Therapy, PLLC Contracted LIP Group Union Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPeak Professional Group, PLLC Contracted LIP Group Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonPeak Wellness Clinic, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesPeculiar Counseling & Consulting, PLLC MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPediatric and Family Behavioral Health Acquisition Group, PLLC Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPerson County Group Homes, Inc. Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonPerson County Schools dba Early Intervention and Family Services Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonPerson Industries Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonPeter-Elst, LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Phoenix Counseling Center MSA Gaston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana Frakes

PHP of NC, Inc. Contracted Agency Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPiney Ridge Treatment Center LLC MSA Out of State Chuckey Aiken 704.305.4821 [email protected] Dana FrakesPinnacle Counseling Services, PLLC Contracted LIP Group Granville Lenique Clark 704.437.8660 [email protected] Michael NortonPinnacle Family Services of North Carolina, LLC (Formerly National Mentor HealthCare, LLC, dba NC Mentor) Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonPinnacle Point Supportive Services, LLC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesPORT Health Services Contracted Agency Pitt Tawanda Lewis 919.357.5564 [email protected] Michael NortonPositive Behavior Supports Corporation Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesPositive Connection Care Inc. MSA Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonPQA Healthcare Services, Inc. Contracted Agency Surry Karen Glenn 336.403.4583 [email protected] Michael Norton

Praising Hands, LLC Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesPrecious Haven, Inc. MSA Cumberland Simona Kelly 704.785.5609 [email protected] Dana FrakesPremier Healthcare Services, Inc. Contracted Agency Cumberland Pam Hair 704.305.2097 [email protected] Dana FrakesPremiere Health and Wellness Medical Center, PLLC Contracted LIP Group Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonPRIDE in North Carolina, LLC Contracted Agency Pitt Mandy Padgett 252.820.9854 [email protected] Michael NortonPrimary Care Solutions, Inc. Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesPrimary Health Choice, Inc. MSA Scotland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesPriorities ABA, PLLC Contracted Agency Pitt Karen Glenn 336.403.4583 [email protected] Michael NortonProCure Therapeutic Agency, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 17 of 25

Page 18:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Professional Family Care Services, Inc. MSA Cumberland Miguel Sabillon 980.475.9039 [email protected] Dana FrakesProgressive Recovery Resources, LLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesProject 658, Inc. dba Smith Family Wellness Center Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesPsychiatric Services of the Carolinas, PC Contracted LIP Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesPsychological Mobile Services, PA Contracted Agency Wilson Lenique Clark 704.437.8660 [email protected] Michael NortonPsychotherapeutic Services, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Public Health Authority of Cabarrus County dba Cabarrus Health Alliance Contracted Agency Cabarrus Rebecca Harris 704.213.1293 [email protected] Dana FrakesPush Consultants LLC dba All Things are Possible 4 Autism Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonQC Counseling Services, PLLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesQC Psychology, PLLC Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesQuality Care lll, LLC MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonQuality Care Solutions, Inc. MSA Wake Lenique Clark 704.437.8660 [email protected] Michael NortonQuality Home Care Services, LLC Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesQuest Provider Services, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesRachel's House Contracted Agency Bertie Lenique Clark 704.437.8660 [email protected] Michael NortonRae's Playze Adult Day Center Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesRainbow 66 Storehouse, Inc. Contracted Agency Scotland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesRainey Psychological Services, PC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesRaleigh Psychological Associates, Inc. Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonRalph Scott Lifeservices, Inc. Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonRapha House MSA Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesRBC Health Care Solutions, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonRecovery Innovations of NC, Inc. Contracted Agency Vance Mandy Padgett 252.820.9854 [email protected] Michael NortonReliable Health Services, Inc Contracted LIP Group Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonREMMSCO, Inc. Contracted Agency Rockingham Karen Glenn 336.403.4583 [email protected] Michael NortonRenaissance Wellness Services, LLC Contracted Agency Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonReNew Support Services, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesRenu Life, LLC/Renu Life Extended, Inc. Contracted Agency Wayne Mandy Padgett 252.820.9854 [email protected] Michael NortonResidential Services, Inc. Contracted Agency Orange Karen Glenn 336.403.4583 [email protected] Michael NortonResidential Treatment Services of Alamance, Inc. Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonResolution: Counseling & Development Services Contracted LIP Group Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonRestore Healthcare Medical Group, Inc. Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesRestoring Bodies and Minds, LLC Contracted Agency Granville Mandy Padgett 252.820.9854 [email protected] Michael NortonRHA Behavioral Health NC, LLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonRHA Health Services NC, LLC Contracted Agency Buncombe Karen Glenn 336.403.4583 [email protected] Michael NortonRHA Health Services, Inc. Contracted Agency Buncombe Karen Glenn 336.403.4583 [email protected] Michael NortonRight Choice Services, LLC Contracted Agency Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 18 of 25

Page 19:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Rising Hope Clinical Assistance, LLC Contracted Agency Mecklenburg Amy Berrier 336.608.8300 [email protected] Michael NortonRising Phoenix, Inc. MSA Guilford Mandy Padgett 252.820.9854 [email protected] Michael NortonRoanoke Valley Adult Day Center Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonRobeson Health Care Corporation Contracted Agency Robeson Tawanda Lewis 919.357.5564 [email protected] Michael NortonRobin E. Dock, PhD Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonRobin Fitzgerald, LPC Contracted LIP Alamance Ron Aldridge 336.514.7419 [email protected] Michael NortonRochelle Jones, LCSW Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesRolanda J. Abney, LCSW Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesRoslyn Russell, LPC dba Russell's Counseling Services Contracted LIP Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonRouse's Group Home II, Inc. Contracted Agency Rockingham Karen Glenn 336.403.4583 [email protected] Michael NortonRowan Psychiatric and Medical Services, PA Contracted LIP Group Rowan Miguel Sabillon 980.475.9039 [email protected] Dana FrakesRowan Vocational Opportunities, Inc. Contracted Agency Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesRoyal Child Academy Company Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesRusMed Consultants, LLC Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonRyan Draper EOR Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonRyan's Place, LLC Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesS & T WeCare, Inc. MSA Cumberland Miguel Sabillon 980.475.9039 [email protected] Dana FrakesS&H Youth and Adult Services, Inc. Contracted Agency Rowan LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesS&L Home Care Services, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonS. Purcell Counseling, PC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonS. Shannon Smith, LCSW Contracted LIP Alamance Mandy Padgett 252.820.9854 [email protected] Michael NortonS.T.E.P.s Developmental Academy, Inc. Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSafe Haven Child and Family Counseling Services Contracted LIP Group Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSafiyyah Feaster, LCSW Contracted LIP Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSalisbury Pediatric Associates, PA Contracted LIP Group Rowan Ursula Cornwell 704.785.7521 [email protected] Dana FrakesSalisbury Psychiatric Associates, P.C. Contracted LIP Group Rowan Ursula Cornwell 704.785.7521 [email protected] Dana FrakesSamuel Harrison EOR Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonSandhills Alternative Academy, LLC MSA Richmond Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSandhills Pediatrics, Inc. MSA Moore Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSandra Cifuentes dba Mindful Healing Counseling Contracted LIP Cabarrus Miguel Sabillon 980.475.9039 [email protected] Dana FrakesSandra Wickham, CSW, LCSW Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonSantana Therapy & Counseling, PLLC Contracted LIP Group Wake Lenique Clark 704.437.8660 [email protected] Michael NortonSaved Foundation Inc. Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonSaving Grace Outreach, LLC MSA Hoke Rebecca Harris 704.213.1293 [email protected] Dana FrakesSBH Raleigh, LLC dba Strategic Behavioral Center- Garner Contracted Agency Wake Karen Glenn 336.403.4583 [email protected] Michael NortonSBH Wilmington, LLC dba Carolina Dunes Behavioral Health Contracted Agency Brunswick Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSecuring Resources for Consumers, Inc. Contracted Agency Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonSelena and Karl Davis EOR Franklin Lenique Clark 704.437.8660 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 19 of 25

Page 20:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Selfless Foundation, Inc. Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSenior Health and Education Partners, PLLC Contracted LIP Durham Lenique Clark 704.437.8660 [email protected] Michael NortonSerendipity Therapy, PLLC Contracted LIP Group Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesSerenity Counseling & Resource Center, Inc. Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Serenity Counseling of the Carolinas, PLLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesSevenhill Associates, P.A. Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonShar's Auspicious Care, LLC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonShawn Causby dba Waxhaw Whole Health Contracted LIP Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesShawtay Reese LCSW, LCAS Contracted LIP Warren Mandy Padgett 252.820.9854 [email protected] Michael NortonShekita Brown Counseling and Consulting, PLLC Contracted LIP Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSherille Barber dba Barber Therapy & Associates Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesSherita Crews, PLLC Contracted LIP Group Rowan Simona Kelly 704.785.5609 [email protected] Dana FrakesSHG Consultants, Inc. Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesShifting Paradigms Counseling and Consulting, PC Contracted LIP Group Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesShine Counseling, PLLC Contracted LIP Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesShiricka Fair dba Provisions Counseling Services Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesSierra's Residential Services, Inc. MSA Harnett Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSigma Health Services, LLC Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonSims Consulting and Clinical Services, Inc. Contracted Agency Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSims Training and Wellness Center, Inc.. Contracted LIP Group Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSkill Creations, Inc. Contracted Agency Wayne Lenique Clark 704.437.8660 [email protected] Michael NortonSolaz, LLC Contracted LIP Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonSOLO Behavioral Health Services, PLLC Contracted LIP Group Chatham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSolutions Community Support Agency, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSoul Care, PLLC Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesSouth Point Counseling, LLC Contracted LIP Group Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesSoutheastern Healthcare dba Southeastern Adult Day Center, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonSouthern Family Medicine, Inc. Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Southlight Healthcare Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonSouthmountain Children and Family Services MSA Burke Pam Hair 704.305.2097 [email protected] Dana FrakesSPARC Services and Programs, LLC Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana Frakes

Speech Matters, LLC Contracted LIP Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesSPIGNER MANAGEMENT SYSTEMS, INC. dba B J Hill and Associates Contracted Agency Cumberland Rebecca Harris 704.213.1293 [email protected] Dana FrakesSpring Life Behavioral Care, LLC Contracted Agency Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonSpringwell Network, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonStan B Treatment Services, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 20 of 25

Page 21:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Standards-Based Solutions Behavioral Health Consulting & Management LLC Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael NortonStanley Harris EOR Union Ursula Cornwell 704.785.7521 [email protected] Dana FrakesStatewide Mental Health & Disability Services, PLLC Contracted LIP Nash Lenique Clark 704.437.8660 [email protected] Michael NortonStep by Step Care, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonStephen P. Polak, MA, LPC Contracted LIP Granville Lenique Clark 704.437.8660 [email protected] Michael NortonStill Family , LLC Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesStraight Walk Family Services, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonStrategic Interventions, LLC Contracted Agency McDowell Rebecca Harris 704.213.1293 [email protected] Dana FrakesStrengthening Foundations Child & Family Counseling, PLLC MSA Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonStructured Family Interventions, LLC Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonSuccessful Solutions, MHS, Inc. Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonSuccessful Transitions, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSunflower Therapeutic Solutions, PLLC Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesSunlight Behavior Center, Inc. MSA Cumberland Chuckey Aiken 704.305.4821 [email protected] Dana FrakesSunpath, LLC Contracted Agency Gaston Rebecca Harris 704.213.1293 [email protected] Dana FrakesSunrise ABA & Autism Services, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSunrise Clinical Associates, PLLC Contracted Agency Durham Angela Gill-Graham 704.305.4871 [email protected] Michael NortonSunrise Residential Care, LLC MSA Cumberland Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesSupport, Inc. Contracted Agency Gaston LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesSupreme Compassionate Care, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonSusanne Saunders, LCSW Contracted LIP Chatham Mandy Padgett 252.820.9854 [email protected] Michael NortonSwan's Therapeutic Services, PLLC MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonSYLVANGLADE SERVICES, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton

Synergy Care and Counseling, PLLC (fkaDeAnna C. Murphy MA, LPC, LCAS-A) Contracted LIP Orange Ron Aldridge 336.514.7419 [email protected] Michael Norton

Talya Mazor, LCSW (formerly Talya Mazor dba Triangle Counseling)Contracted LIP Orange Mandy Padgett 252.820.9854 [email protected]

Michael NortonTamikia Greene, LPC Contracted LIP Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTammy Juntunen, LPA Contracted LIP Vance Lenique Clark 704.437.8660 [email protected] Michael NortonTeal Peoples Holistic Counseling & Consultation, PLLC. Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesTed Bissette dba Piedmont Agency Counseling Contracted LIP Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton

Tender Loving Care Homes Inc. dba NC Brookhaven Behavioral HealthContracted Agency Buncombe Thaddeus Dowson 704.783.6331 [email protected]

Dana FrakesTerrence Lamar Lassiter, LPC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesTGH Behavioral Health Services, Inc. Contracted Agency Rowan Chuckey Aiken 704.305.4821 [email protected] Dana FrakesThe ARC of Davidson County, Inc. Contracted Agency Davidson Pam Hair 704.305.2097 [email protected] Dana FrakesThe Arc of High Point MSA Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonThe ARC of North Carolina, Inc. Contracted Agency Wake Pam Hair 704.305.2097 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 21 of 25

Page 22:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

The ARC of Rowan County, Inc. Contracted Agency Rowan Pam Hair 704.305.2097 [email protected] Dana FrakesThe ARC of the Triangle, Inc. Contracted Agency Orange Mandy Padgett 252.820.9854 [email protected] Michael NortonThe ARC of Union County, Inc. Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesThe Bridge Consulting Group, LLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonThe Bruson Group, Inc. Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonThe Building Blocks Center, Inc. Contracted LIP Group Iredell Angela Gill-Graham 704.305.4871 [email protected] Michael NortonThe Carter Clinic, PA Contracted Agency Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonThe Center for Child and Family Health, Inc. Contracted LIP Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonThe Center for Creating Opportunities, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonThe Crossnore School, Inc. Contracted Agency Avery Amy Berrier 336.608.8300 [email protected] Michael NortonThe Enhancement Center, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonThe Enrichment Center- An Affiliated Chapter of the Arc Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonThe Harambee Group 2, Inc.. MSA Burke Pam Hair 704.305.2097 [email protected] Dana FrakesThe Holding Space, PLLC Contracted LIP Mecklenburg Pam Hair 704.305.2097 [email protected] Dana FrakesThe HOPE Centre for Advancement, LLC Contracted Agency Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonThe Kid's Workshop, Inc. Contracted Agency Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesThe Legacy Team, LLC Contracted LIP Person Lenique Clark 704.437.8660 [email protected] Michael NortonThe Mental Health Fund dba Catawba Valley Behavioral Healthcare Contracted Agency Catawba Pam Hair 704.305.2097 [email protected] Dana FrakesThe Methodist Home for Children, Inc. Contracted Agency Wake Lenique Clark 704.437.8660 [email protected] Michael NortonThe Neil Group, Inc. Contracted LIP Group Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonThe Promise Group, LLC Contracted Agency Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana FrakesThe Unique Caring Foundation, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesThe Village Behavioral Healthcare Services, Inc. Contracted Agency out of state Pam Hair 704.305.2097 [email protected] Dana FrakesThe Village Behavioral Healthcare Services, Inc. dba One Village Behavioral Healthcare Services, Inc. Contracted LIP Group Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesThe Workshop of Davidson, Inc. Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTherapeutic Alternatives, Inc. Contracted Agency Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTherapeutic Family Solutions, PLLC Contracted LIP Durham Mandy Padgett 252.820.9854 [email protected] Michael NortonTherapeutic Resources Associates, PA Contracted LIP Franklin Tawanda Lewis 919.357.5564 [email protected] Michael NortonTherapeutic Services Group, Inc. Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesTherapeutic Specialties of North Carolina, LLC Contracted LIP Group Vance Lenique Clark 704.437.8660 [email protected] Michael NortonTheresa Syros EOR Franklin Mandy Padgett 252.820.9854 [email protected] Michael NortonThompson Child & Family Focus Contracted Agency Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesThreshold, Inc. MSA Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonThrive Counseling Services, PLLC Contracted LIP Group Mecklenburg Chuckey Aiken 704.305.4821 [email protected] Dana FrakesThriving On Purpose, PLLC Contracted LIP Cabarrus Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesThursher Goodman Winstead Carehome Contracted Agency Person Tawanda Lewis 919.357.5564 [email protected] Michael NortonTiffany L. Harris Contracted LIP Mecklenburg Ursula Cornwell 704.785.7521 [email protected] Dana FrakesTimber Ridge Treatment Center Contracted Agency Rowan Chuckey Aiken 704.305.4821 [email protected] Dana Frakes

Please note that QMS assignments are subject to change. Page 22 of 25

Page 23:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Timeka Southerland, LPC, CSOTS, dba Southerland Treatment and Rehabilitation (STAR Counseling Services) Contracted LIP Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Timeless Solutions Counseling Services, PLLC Contracted LIP Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesTimothy Pittman Contracted LIP Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonTimothy Smithers EOR Orange Amy Berrier 336.608.8300 [email protected] Michael NortonToni J Adcock, EOR Representative EOR Union Pam Hair 704.305.2097 [email protected] Dana FrakesTonya D. Armstrong, PLLC dba The Armstrong Center for Hope Contracted LIP Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonTonya Omar, PLLC dba The Aya Center Contracted LIP Durham Ron Aldridge 336.514.7419 [email protected] Michael NortonTop Priority Care Services, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonTouchstone Residential Services Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael NortonTranscending Limits Counseling Services, PLLC (fka Chantelle Rene Hopkins, LPC) Contracted LIP Group Wake Ron Aldridge 336.514.7419 [email protected] Michael NortonTransformative Life Center, LLC Contracted LIP Group Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana Frakes

Transitions Therapeutic Care, LLC (fka Transitions Mentoring Services, LLC) Contracted LIP Group Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTrauma Assessment & Treatment Center Contracted LIP Group Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana Frakes

Treatment Centers, LLC Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

TRG Health Care Systems, LLC dba OneCare Behavioral Health System Contracted Agency Wake Karen Glenn 336.403.4583 [email protected] Michael Norton

Triad Coordinated Services, Inc. Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonTriad Medical Group PA Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael Norton

Triad Psychiatric and Counseling Center, PA Contracted LIP Guilford Amy Berrier 336.608.8300 [email protected] Michael Norton

Triad Telecare, Inc. dba Country Club Day Activity Contracted Agency Randolph Angela Gill-Graham 704.305.4871 [email protected] Michael NortonTRIAD THERAPY MENTAL HEALTH CENTER, LLC Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Triangle Comprehensive Health Services, Inc. Contracted Agency Wayne Lenique Clark 704.437.8660 [email protected] Michael Norton

TriCare Counseling & Consulting, Inc. Contracted Agency Harnett Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTrinity Behavioral Healthcare, PC (f/k/a Simrun Health Services, Inc.) Contracted Agency Alamance Ron Aldridge 336.514.7419 [email protected] Michael Norton

Trinity Christian Counseling, PLLC-Tonya Moore Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonTrinity House, Inc. Contracted Agency Guilford Amy Berrier 336.608.8300 [email protected] Michael NortonTrinity Wellness & Community Care, LLC Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTurning Point Homes, Inc. Contracted Agency Iredell Chuckey Aiken 704.305.4821 [email protected] Dana FrakesTwo Paths Crossing, LLC Contracted LIP Wake Lenique Clark 704.437.8660 [email protected] Michael NortonTy Kays, LPC Contracted LIP Wake Tawanda Lewis 919.357.5564 [email protected] Michael NortonUltra Violet Mental Health, PLLC formerly Natalie Errant, PMH-NP Contracted LIP Group Rowan Thaddeus Dowson 704.783.6331 [email protected] Dana Frakes

UMAR Services, Inc. Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesUNC Faculty Physicians, TEACCH & UNC School of Medicine (SOM) Contracted Agency Orange Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 23 of 25

Page 24:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Union County Public Schools Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesUnion Diversified Industries Contracted Agency Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesUnion Family Services, PLLC Contracted LIP Group Union Chuckey Aiken 704.305.4821 [email protected] Dana FrakesUnique Caring Network Contracted Agency Mecklenburg Miguel Sabillon 980.475.9039 [email protected] Dana FrakesUnited Family Network, Inc. MSA Johnston Tawanda Lewis 919.357.5564 [email protected] Michael NortonUnited Living, LLC Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonUnited Quest Care Services, LLC Contracted Agency Guilford Angela Gill-Graham 704.305.4871 [email protected] Michael NortonUnited Support Services, Inc. Contracted Agency Mecklenburg Thaddeus Dowson 704.783.6331 [email protected] Dana FrakesUniversal Mental Health Services, Inc. Contracted Agency Caldwell Pam Hair 704.305.2097 [email protected] Dana FrakesUplift Comprehensive Services, Inc. Contracted Agency Bertie Lenique Clark 704.437.8660 [email protected] Michael Norton

Urban Clinical Care, P.C Contracted LIP Person Ron Aldridge 336.514.7419 [email protected] Michael NortonValera Counseling Services, PLLC Contracted LIP Group Forsyth Angela Gill-Graham 704.305.4871 [email protected] Michael NortonValiant Families, PC Contracted LIP Nash Mandy Padgett 252.820.9854 [email protected] Michael NortonValley Center for Life Enrichment Contracted LIP Halifax Lenique Clark 704.437.8660 [email protected] Michael NortonVance Recovery, PC Contracted Agency Vance Lenique Clark 704.437.8660 [email protected] Michael NortonVatogna Steward, PLLC dba Therapy to Inner Peace Center Contracted LIP Group Mecklenburg Simona Kelly 704.785.5609 [email protected] Dana Frakes

Veleka Y. Barbee Therapy Services, Inc. Contracted LIP Group Stanly Pam Hair 704.305.2097 [email protected] Dana FrakesVeronica Glaspie EOR Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonVirginia Goodson EOR Vance Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Virpark, Inc. MSA Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonVision Behavioral Health Services, LLC Contracted Agency Franklin Lenique Clark 704.437.8660 [email protected] Michael NortonVisions Counseling Studio, PLLC Contracted Agency Durham Tawanda Lewis 919.357.5564 [email protected] Michael Norton

VOCA Corporation of North Carolina dba Community Alternatives of NC Contracted Agency Wake Tawanda Lewis 919.357.5564 [email protected] Michael Norton

Voice for Children and Nurturing Families, PLLC Contracted LIP Group Forsyth Amy Berrier 336.608.8300 [email protected] Michael NortonWaite Psychological and Therapeutic Services, PLLC Contracted LIP Group Durham Lenique Clark 704.437.8660 [email protected] Michael NortonWake Enterprises, Inc. MSA Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonWake Forest Counseling Associates, PLLC Contracted LIP Wake Lenique Clark 704.437.8660 [email protected] Michael NortonWalkers Group Home, Inc. Contracted Agency Buncombe Rebecca Harris 704.213.1293 [email protected] Dana FrakesWanda Burger, LPC, LCAS Contracted LIP Henderson Amy Berrier 336.608.8300 [email protected] Michael NortonWayne Dankner EOR Orange Ron Aldridge 336.514.7419 [email protected] Michael NortonWellSpace Counseling & Consulting, PLLC (fka Shannon Harty) Contracted LIP Group Alamance Karen Glenn 336.403.4583 [email protected] Michael NortonWescare Professional Services, LLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonWest Counseling, PLLC Contracted LIP Group Cabarrus Pam Hair 704.305.2097 [email protected] Dana FrakesWhat Matters Most, Inc. Contracted Agency Cabarrus Chuckey Aiken 704.305.4821 [email protected] Dana FrakesWhetstone Counseling and Counseling Services, PLLC Contracted LIP Group Rowan Miguel Sabillon 980.475.9039 [email protected] Dana FrakesWhispering Willows Counseling Services, PLLC Contracted LIP Group Guilford Ron Aldridge 336.514.7419 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 24 of 25

Page 25:  · 8/28/2020 Michael Norton 919.904.0524 Michael.Norton@cardinalinnovations.org Jill Queen 704.301.5989 Jill.Queen@cardinalinnovations.org Dana Frakes 704.783.6014 Dana.Frakes@cardin

2/23/2021

704.939.7879704.301.5989919.904.0524704.783.6014704.939.7792704.939.7757

Provider NameEntity Type (Internal

Only)County QM Staff Phone Email

QM Staff Supervisor Name

Nina DavisTaffi Guinyard

Cardinal Innovations Quality Assurance ManagerIncident Report/IRIS Questions

[email protected]@cardinalinnovations.org

Cardinal Innovations Healthcare Regional Quality Management Provider Account ListingCardinal Innovations Vice President of Quality ManagementCardinal Innovations Director of Quality Management Cardinal Innovations Quality Assurance ManagerCardinal Innovations Quality Assurance Manager

[email protected]@cardinalinnovations.orgMichael.Norton@[email protected]

Onika WilsonJill QueenMichael NortonDana Frakes

Wilson Professional Counseling, PLLC Contracted LIP Mecklenburg Rebecca Harris 704.213.1293 [email protected] Dana FrakesWilson's Constant Care, LLC Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonWolfe & Jackson Group Home, Inc. Contracted Agency Forsyth Karen Glenn 336.403.4583 [email protected] Michael NortonWomen, Children and Family Counseling Service, PLLC Contracted LIP Group Vance Lenique Clark 704.437.8660 [email protected] Michael NortonWoodridge of Missouri, Inc. MSA Out of State Ursula Cornwell 704.785.7521 [email protected] Dana FrakesWrights Care Services, LLC MSA Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonYelena Kalyuzhnaya EOR Union Pam Hair 704.305.2097 [email protected] Dana FrakesYelverton's Enrichment Services, Inc. MSA Wake Mandy Padgett 252.820.9854 [email protected] Michael NortonYouth Builders, LLC Contracted Agency Alamance Angela Gill-Graham 704.305.4871 [email protected] Michael NortonYouth Enrichment Group Home, Inc. Contracted Agency Guilford Ron Aldridge 336.514.7419 [email protected] Michael NortonYouth Enrichment Services of LKN, Inc. Contracted LIP Iredell Pam Hair 704.305.2097 [email protected] Dana FrakesYouth Extensions, Inc. MSA Durham Karen Glenn 336.403.4583 [email protected] Michael NortonYouth Haven Services, LLC Contracted Agency Rockingham Amy Berrier 336.608.8300 [email protected] Michael NortonYouth Unlimited Contracted Agency Davidson Angela Gill-Graham 704.305.4871 [email protected] Michael NortonYouth Villages, Inc. Contracted Agency Out of state corporate office Pam Hair 704.305.2097 [email protected] Dana FrakesZenith Hope Center, LLC Contracted Agency Mecklenburg LaKisha Pierre-Louis 704.305.5966 [email protected] Dana FrakesZephaniah Services, PLLC Contracted Agency Guilford Karen Glenn 336.403.4583 [email protected] Michael NortonZOE: Behavior Health Services, Inc. Contracted Agency Forsyth Amy Berrier 336.608.8300 [email protected] Michael Norton

Please note that QMS assignments are subject to change. Page 25 of 25