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ASSURED COMMUNITY SERVICES LLC NPI 1053925727


NPI Information

NPI: 1053925727
Provider Name: ASSURED COMMUNITY SERVICES, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
8025 N POINT BLVD STE 221
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 283-2699
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ASSURED COMMUNITY SERVICES, LLC is a community behavioral health in Winston Salem, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. ASSURED COMMUNITY SERVICES, LLC NPI is 1053925727. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8025 N POINT BLVD STE 221
WINSTON SALEM, NC
ZIP 27106-100
Phone: (336) 283-2699
Fax: (704) 818-4315

The provider's authorized official is Laquana Richmond .
The authorized official title is Coo and has the following contact phone number (336) 283-2699.

The enumeration date for this NPI number is 9/1/2020 and was last updated on 11/9/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4101YP2500XCounselorProfessionalNo
5103TP2701XPsychologistGroup PsychotherapyNo
61041C0700XSocial WorkerClinicalNo
7106H00000XMarriage & Family TherapistNo
8175T00000XPeer SpecialistNo
9207RA0401XInternal MedicineAddiction MedicineNo
102084P0800XPsychiatry & NeurologyPsychiatryNo
11261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
12363A00000XPhysician AssistantNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14251S00000XCommunity/Behavioral 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11053925727MEDICAIDNORTH 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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.