A SPACE FOR NICHOLAS LLC NPI 1922823194

NPI Information

  • NPI: 1922823194
  • Provider Name: A SPACE FOR NICHOLAS LLC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 2310 S MIAMI BLVD STE 141
    DURHAM, NC
    ZIP 27703
  • Phone: (919) 228-8026

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NPI Details

A SPACE FOR NICHOLAS LLC is a community behavioral health in Durham, 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. A SPACE FOR NICHOLAS LLC NPI is 1922823194. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2310 S MIAMI BLVD STE 141
DURHAM, NC
ZIP 27703-900
Phone: (919) 228-8026

The provider's authorized official is Dakena Stewart .
The authorized official title is Owner and has the following contact phone number (919) 228-8026.

The enumeration date for this NPI number is 11/21/2024 and was last updated on 1/26/2025.

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
1103K00000XBehavior AnalystNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4106E00000XAssistant Behavior AnalystNo
5106S00000XBehavior TechnicianNo
6208000000XPediatricsNo
7225X00000XOccupational TherapistNo
8235Z00000XSpeech-Language PathologistNo
9251S00000XCommunity/Behavioral HealthYes
10261QH0100XClinic/CenterHealth ServiceNo

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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