Alafia Behavioral Support Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ALAFIA BEHAVIORAL SUPPORT SERVICES, LLC

Practice address

625 Piney Forest Rd Ste 301E
Danville, VA 24540-2869

Phone

(919) 260-4757

NPI assigned

Oct 26, 2018

Last updated

Jul 28, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ndidi Adeyanju, PHD

Title

Executive Director

Phone

(919) 260-4757

Specialties & licenses 1

Addresses

Tax ID family

Alafia Behavioral Support Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Alafia Behavioral Support Services, LLC

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1205502796
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1013484203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 KINDLE WOOD ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168898",
            "telephone_number": "919-260-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 PINEY FOREST RD STE 301E",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245402869",
            "telephone_number": "919-260-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAFIA BEHAVIORAL SUPPORT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "ADEYANJU",
        "authorized_official_first_name": "NDIDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-260-4757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madina Akbar
• Scott Jamar Akers Sr.
• Akintunde Rasaq Akinleye, M.D, MSC
• Subash Ala, MD
• Thomas Mendoza Alabanza, M.D.
• Gregory J Alba, D.O.
• Katrine Albright
• Abraham Taddese Alemneh
• Natalie Alexander, D.O.
• Fahid Alghanim, MD

• Community/Behavioral Health Agency in Danville, VA
• Providers in Danville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.