ALEXANDER YOUTH NETWORK NPI 1336266733

NPI Information

NPI: 1336266733
Provider Name: ALEXANDER YOUTH NETWORK
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1904 DALLAS CHERRYVILLE HWY
DALLAS, NC
ZIP 28034
Phone: (704) 922-9115
Get Directions

ALEXANDER YOUTH NETWORK is an adolescent and children mental health clinic center in Dallas, 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 NPI is 1336266733. The provider is registered as an organization entity type.

The provider's business location address is:

1904 DALLAS CHERRYVILLE HWY
DALLAS, NC
ZIP 28034-706
Phone: (704) 922-9115
Fax: (704) 922-0441

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 3/23/2007 and was last updated on 8/22/2020.

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
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		NORTH CAROLINA	Yes

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
1	8301458	MEDICAID	NORTH CAROLINA
2	8301458R	MEDICAID	NORTH CAROLINA
3	8301801	MEDICAID	NORTH CAROLINA
4	8301801R	MEDICAID	NORTH 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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