Macta, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MACTA, LLC

Practice address

450 S Wesleyan Blvd
Rocky Mount, NC 27803-1700

Phone

(252) 443-0836

Fax

(252) 443-0836

NPI assigned

Nov 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Russell W Wooten

Title

Owner/Member

Phone

(252) 443-0836

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1053565648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 SANDBERG LN",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278032253",
            "telephone_number": "252-443-0836",
            "fax_number": "252-443-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 S WESLEYAN BLVD",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278031700",
            "telephone_number": "252-443-0836",
            "fax_number": "252-443-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-09",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "252-443-0836",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrisha Monique Lyons, LCMHCA
• Margaret D. Mabie, MS,APRN,FNP-C,PMHNP-
• Gloria Jean Mabry
• Nitaya Reyes Mackey, IBCLC
• Glenn Edward Macnichol, M.D.
• Evelyn Rudo Majachani, PMHNP
• Making a Difference Grouphome
• Marcy Maksail, MA
• Melissa Malinowski, RN, BSN, MSN, NP-C
• Arun Manikumar

• Community/Behavioral Health Agency in Rocky Mount, NC
• Providers in Rocky Mount, 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 16, 2009; 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.