ALBERTA PROFESSIONAL SERVICES INC. NPI 1871658120

NPI Information

  • NPI: 1871658120
  • Provider Name: ALBERTA PROFESSIONAL SERVICES, INC.
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 1000 REVOLUTION MILL DR
    STUDIO 2
    GREENSBORO, NC
    ZIP 27405
  • Phone: (336) 273-2640

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NPI Details

ALBERTA PROFESSIONAL SERVICES, 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. ALBERTA PROFESSIONAL SERVICES, INC. NPI is 1871658120. The provider is registered as an organization entity type.

The provider's business location address is:

1000 REVOLUTION MILL DR
STUDIO 2
GREENSBORO, NC
ZIP 27405-042
Phone: (336) 273-2640
Fax: (336) 273-6522

The provider's authorized official is Derek Mitchell .
The authorized official title is Business Manager and has the following contact phone number (336) 273-2640.

The enumeration date for this NPI number is 12/27/2006 and was last updated on 9/11/2025.

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
1251C00000XDay Training, Developmentally Disabled ServicesMHL-041-768NORTH CAROLINANo
2322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-553NORTH CAROLINANo
3322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-125NORTH CAROLINANo
4322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-152NORTH CAROLINANo
5322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-229NORTH CAROLINANo
6322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-068NORTH CAROLINANo
7322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-041-164NORTH CAROLINANo
8322D00000XResidential Treatment Facility, Emotionally Disturbed ChildrenMHL-034-108NORTH CAROLINANo
9320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
10251B00000XCase ManagementNo
11251S00000XCommunity/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
13418317MEDICAIDNORTH CAROLINA
26603001MEDICAIDNORTH CAROLINA
36603018MEDICAIDNORTH CAROLINA
46603016MEDICAIDNORTH CAROLINA
56603140MEDICAIDNORTH CAROLINA
66603533MEDICAIDNORTH CAROLINA
76603003MEDICAIDNORTH CAROLINA
88301821BMEDICAIDNORTH 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: 11/21/2025

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