Blue Skies of NC, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

24537 Issued in NC

Legal business name

BLUE SKIES OF NC, LLC

Practice address

212 N Corcoran St
Suite 214
Durham, NC 27701-3210

Phone

(919) 683-8672

Fax

(919) 683-8710

NPI assigned

Aug 16, 2009

Organization subpart

No

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

Authorized official

Name

Miss Devohn Paris Phillips, B.A. QMHP

Title

Ceo/Program Director

Phone

(919) 358-7019

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250553600000",
    "number": "1073745618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 N CORCORAN ST",
            "address_2": "SUITE 214",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013210",
            "telephone_number": "919-683-8672",
            "fax_number": "919-683-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N CORCORAN ST",
            "address_2": "SUITE 214",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013210",
            "telephone_number": "919-683-8672",
            "fax_number": "919-683-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKIES OF NC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-16",
        "last_updated": "2009-08-18",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DEVOHN",
        "authorized_official_middle_name": "PARIS",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "919-358-7019",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "B.A. QMHP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "24537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alicia Blue, FNP-BC
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• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, 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 Aug 18, 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.