Stratford Outreach,Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STRATFORD OUTREACH,INC.

Practice address

3329 Wrightsville Ave Ste K
Wilmington, NC 28403-4101

Phone

(910) 264-5045

Fax

(910) 799-5747

NPI assigned

Mar 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tameka Machae Davis, CLINICAL DIRECTOR

Title

President

Phone

(910) 264-5045

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jimmy Bellamy, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, NC
  • NPI 1215194741
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200960000000",
    "number": "1043349442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12221",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277092221",
            "telephone_number": "910-264-5045",
            "fax_number": "718-649-8725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3329 WRIGHTSVILLE AVE STE K",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034101",
            "telephone_number": "910-264-5045",
            "fax_number": "910-799-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRATFORD OUTREACH,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-04",
        "last_updated": "2008-01-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TAMEKA",
        "authorized_official_middle_name": "MACHAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-264-5045",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CLINICAL DIRECTOR"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301746",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Ann Stoute, MA, LPA
• Maria Luisa Stoute, NP-C
• Ashley Renee Strack
• Jahnee Marie Strack, MS, CAS, LPA
• Caleb Strassberg
• Andrea Straughter, LCSW
• Beth Eileen Strauss, RPH
• Amanda Larese Stred, M.S., ED., BCBA
• Street Lamp LLC
• Jill B Street, M.A., CCC-SLP

• Community/Behavioral Health Agency in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; 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.