Alamance Academy, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL001230 Issued in NC

Legal business name

ALAMANCE ACADEMY, LLC

Practice address

530 Rosenwald St
Burlington, NC 27217

Phone

(336) 437-4382

NPI assigned

Jul 29, 2013

Last updated

May 21, 2018By 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

Mrs. Mollissiee Peterson

Title

Owner Operator

Phone

(336) 437-4382

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Alamance Academy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alamance Academy, LLC

  • Multi-Specialty Clinic/Center
  • Burlington, NC
  • NPI 1508038001
  NPD tax ID
• The Alamance Academy

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1376922062
  NPD tax ID

Locations

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526860800000",
    "number": "1093157240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ROSENWALD ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ROSENWALD ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27217",
            "telephone_number": "336-437-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAMANCE ACADEMY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2018-05-21",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MOLLISSIEE",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "336-437-4382",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL001230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604306",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian B Agbor-Etang, M.D.
• Kavita Agrawal
• Ji Young Ahn, OD
• Olubukola Ajetunmobi, NP
• Al-Aqsa Community Clinic
• Alamance Academy, LLC
• Alamance Burlington School Systme
• Alamance Cardiology, Internal Medicine, and Nuclear Medicine, P.a. (Callwood Cardiology Care, PA)
• Alamance Caswell Area MH DD Sa Area Authority
• Alamance Chiropractic Center, PC

• Community/Behavioral Health Agency in Burlington, NC
• Providers in Burlington, 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 May 21, 2018; 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.