EXTENSION TRAINING OF NC LLC NPI 1184143489

NPI Information

  • NPI: 1184143489
  • Provider Name: EXTENSION TRAINING OF NC, LLC
  • Classification: Clinic/Center - 261QM0850X
  • Specialization: Adult Mental Health
  • Entity Type: Organization
  • Address: 700 MORROW AVE
    PINEVILLE, NC
    ZIP 28134
  • Phone: (919) 592-3608

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NPI Details

EXTENSION TRAINING OF NC, LLC is an adult mental health clinic center in Pineville, 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 adults. EXTENSION TRAINING OF NC, LLC NPI is 1184143489. The provider is registered as an organization entity type.

The provider's business location address is:

700 MORROW AVE
PINEVILLE, NC
ZIP 28134-528
Phone: (919) 592-3608
Fax: (919) 835-9613

The provider's authorized official is Christina Lanette Stevenson .
The authorized official title is Owner and has the following contact phone number (919) 592-3608.

The enumeration date for this NPI number is 9/18/2017 and was last updated on 9/18/2017.

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
1261QM0850XClinic/CenterAdult Mental Health254418NORTH CAROLINAYes

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
15007400OTHERNORTH CAROLINANURSE PRACTITIONER

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: 3/30/2025

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