Dae LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5318 Issued in NC

Legal business name

DAE LLC

Doing business as

DAE Therapy

Practice address

113 W Firetower Rd
Suite G
Winterville, NC 28590-8377

Phone

(252) 758-1300

Fax

(252) 758-0015

NPI assigned

Dec 26, 2007

Last updated

Dec 26, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Emmanuel Barnett

Title

Executive Director

Phone

(704) 591-2927

Specialties & licenses 2

Addresses

Other names 1

• DAE Therapy Doing business as

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198627200000",
    "number": "1073797189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 WEST FIRE TOWER RD.",
            "address_2": "SUITE G",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908377",
            "telephone_number": "252-758-1300",
            "fax_number": "252-758-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W FIRETOWER RD",
            "address_2": "SUITE G",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908377",
            "telephone_number": "252-758-1300",
            "fax_number": "252-758-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-591-2927",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1021",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "5318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAE Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Veronica Alexandria Cary Cox, LCMHCA
• Rosa Credle, FNP
• Christopher Justin Crotty, MD
• Reagan Grace Cunningham
• CVS/Pharmacy
• Frank Dang, DO
• Liza Whitli Daniel, LCSW
• Melissa Ann Davis
• Yolanda Regina Davis, MSW,LCSW
• Mary E Dawson-Barnett, CSAC

• Professional Counselor in Winterville, NC
• Providers in Winterville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.