Active NPI
Tears of an Addict, LLC
- Community/Behavioral Health Agency
- Burlington, NC
National Provider Identifier
1093174914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TEARS OF AN ADDICT, LLC
- Practice address
- 818 S Church St
Burlington, NC 27215-3814 - Phone
- (336) 686-2867
- NPI assigned
- Feb 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Ella Ruth Sombelon
- Title
- Owner
- Phone
- (336) 686-2867
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
818 S Church St
Burlington, NC 27215-3814
Mailing address
1015 Glendale Dr Apt 15D
Greensboro, NC 27406-6456
Phone (336) 686-2867
National Provider Directory
National Provider DirectoryLocations
818 S Church St
Burlington, NC 27215
Phone (336) 686-2867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455926400000",
"number": "1093174914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 GLENDALE DR APT 15D",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274066456",
"telephone_number": "336-686-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "818 S CHURCH ST",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272153814",
"telephone_number": "336-686-2867"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEARS OF AN ADDICT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-20",
"last_updated": "2016-02-20",
"status": "A",
"authorized_official_last_name": "SOMBELON",
"authorized_official_first_name": "ELLA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "336-686-2867",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.