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ELITE ADOLESCENT CARE INC. NPI 1689000689


NPI Information

NPI: 1689000689
Provider Name: ELITE ADOLESCENT CARE, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4501 OLD BATTLEGROUND RD
GREENSBORO, NC
ZIP 27410
Phone: (910) 483-0324
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ELITE ADOLESCENT CARE, INC. is a community behavioral health in Greensboro, 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. ELITE ADOLESCENT CARE, INC. NPI is 1689000689. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4501 OLD BATTLEGROUND RD
GREENSBORO, NC
ZIP 27410-352
Phone: (910) 483-0324
Fax: (910) 483-2246

The provider's authorized official is Barsheem Chapman .
The authorized official title is Ceo and has the following contact phone number (910) 483-0324.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 9/23/2013.


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
4101YS0200XCounselorSchoolNo
5103T00000XPsychologistNo
6103TA0400XPsychologistAddiction (Substance Use Disorder)No
7103TB0200XPsychologistCognitive & BehavioralNo
8103TC0700XPsychologistClinicalNo
9103TC1900XPsychologistCounselingNo
10103TC2200XPsychologistClinical Child & AdolescentNo
11103TP0016XPsychologistPrescribing (Medical)No
121041C0700XSocial WorkerClinicalNo
131041S0200XSocial WorkerSchoolNo
14106H00000XMarriage & Family TherapistNo
15251S00000XCommunity/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
16008846MEDICAIDNORTH 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: 11/14/2023

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.