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ELITE AAOLESCENT CARE INC. NPI 1225464225


NPI Information

NPI: 1225464225
Provider Name: ELITE AAOLESCENT CARE, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
20513 S HIGHWAY 301 NORTH
ST. PAULS, NC
ZIP 28384
Phone: (910) 483-0234
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ELITE AAOLESCENT CARE, INC. is a community behavioral health in St. Pauls, 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 AAOLESCENT CARE, INC. NPI is 1225464225. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20513 S HIGHWAY 301 NORTH
ST. PAULS, NC
ZIP 28384
Phone: (910) 483-0234
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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YM0800XCounselorMental HealthNo
4103T00000XPsychologistNo
5103TA0400XPsychologistAddiction (Substance Use Disorder)No
6103TC0700XPsychologistClinicalNo
7103TC2200XPsychologistClinical Child & AdolescentNo
8103TP0016XPsychologistPrescribing (Medical)No
9103TP2701XPsychologistGroup PsychotherapyNo
10104100000XSocial WorkerNo
111041C0700XSocial WorkerClinicalNo
12106H00000XMarriage & Family TherapistNo
13251B00000XCase ManagementNo
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16008828MEDICAIDNORTH 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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