Next Level Adolescent Services, Inc.

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL032446 Issued in NC

Legal business name

NEXT LEVEL ADOLESCENT SERVICES, INC.

Practice address

1107 Holloway St
Durham, NC 27701-3852

Phone

(919) 683-6398

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Wentiers Antario London

Title

Co-Owner

Phone

(252) 636-1569

Specialties & licenses 1

Addresses

Tax ID family

Next Level Adolescent Services Inc2 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.

• Next Level Adolescent Services, Inc.

  • Community/Behavioral Health Agency
  • Durham, NC
  • NPI 1851694814
  NPD tax ID

Locations

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1043470768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15123",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285615123",
            "telephone_number": "252-636-1569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 HOLLOWAY ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013852",
            "telephone_number": "919-683-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL ADOLESCENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "LONDON",
        "authorized_official_first_name": "WENTIERS",
        "authorized_official_middle_name": "ANTARIO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "252-636-1569",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL032446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Howard Newman, M.D.
• Tanisha Lakia Newsome, LCAS A
• Beverly Newton, OTR/L
• Elizabeth Jones Newton, LCSW
• Robbin A. Newton, OTR/L
• Next Level Adolescent Services, Inc.
• Next Moves LLC
• Next Step Psychology PLLC
• Cindy H NG, MSW, LCSW
• Ka Hang NG

• Developmentally Disabled Services Day Training Agency in Durham, NC
• Providers in Durham, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.