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ALEXANDER YOUTH NETWORK OF LENOIR NPI 1134211030


NPI Information

NPI: 1134211030
Provider Name: ALEXANDER YOUTH NETWORK OF LENOIR
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
140 TREMONT PARK DR SE
LENOIR, NC
ZIP 28645
Phone: (828) 757-9706
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ALEXANDER YOUTH NETWORK OF LENOIR is an adolescent and children mental health clinic center in Lenoir, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. ALEXANDER YOUTH NETWORK OF LENOIR NPI is 1134211030. The provider is registered as an organization entity type.

The provider's business location address is:

140 TREMONT PARK DR SE
LENOIR, NC
ZIP 28645-669
Phone: (828) 757-9706
Fax: (828) 757-0059

The provider's authorized official is Craig Bass .
The authorized official title is President & Ceo and has the following contact phone number (704) 362-8460.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 1/30/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2261QM0855XClinic/CenterAdolescent and Children Mental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
189014AVMEDICAIDNORTH CAROLINA
28301183RMEDICAIDNORTH CAROLINA
38301555MEDICAIDNORTH CAROLINA
48301555BMEDICAIDNORTH CAROLINA
58301183BMEDICAIDNORTH CAROLINA
68301183MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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