The Center for Emotional & Behavioral Change, Inc. (Cebc)

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE CENTER FOR EMOTIONAL & BEHAVIORAL CHANGE, INC. (CEBC)

Practice address

610 Long View Dr
Youngsville, NC 27596-6610

Phone

(803) 361-0506

NPI assigned

Aug 19, 2016

Organization subpart

No

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

Authorized official

Name

Ameera Ali

Title

Manager

Phone

(678) 793-1383

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471564800000",
    "number": "1083169080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 LONG VIEW DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275966610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 LONG VIEW DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275966610",
            "telephone_number": "803-361-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR EMOTIONAL & BEHAVIORAL CHANGE, INC. (CEBC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AMEERA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-793-1383"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Youngsville, NC
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.