Avant Behavioral NC LLC

Key facts

NPI

1043100548

Entity type

Organization (NPI type 2)

Primary specialty

Community/Behavioral Health Agency 251S00000X

Legal business name

AVANT BEHAVIORAL NC LLC

Practice address

2317 Patriot Way Unit a
Greensboro, NC 27408-2742

Phone

(203) 725-6122

NPI assigned

Jul 7, 2025

Organization subpart

No

Authorized official

Name

Charles Kirshner

Title

Managing Member

Phone

(203) 725-6122

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2025.

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764720000000",
    "number": "1043100548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 PATRIOT WAY UNIT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2317 PATRIOT WAY UNIT A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082742",
            "telephone_number": "203-725-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVANT BEHAVIORAL NC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A",
        "authorized_official_last_name": "KIRSHNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-725-6122"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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