Mpowering Kids Mentoring LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MPOWERING KIDS MENTORING LLC

Practice address

34 E Main St
Martinsville, VA 24112-2720

Phone

(276) 618-0759

Fax

(276) 638-2680

NPI assigned

Jan 12, 2009

Organization subpart

No

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

Authorized official

Name

Vickie Adams

Title

Ceo

Phone

(276) 618-0759

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277337600000",
    "number": "1104063254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3229",
            "address_2": "34 E. MAIN STREET",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241153229",
            "telephone_number": "276-634-0060",
            "fax_number": "276-632-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 E MAIN ST",
            "city": "MARTINSVILLE",
            "state": "VA",
            "postal_code": "241122720",
            "telephone_number": "276-618-0759",
            "fax_number": "276-638-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWERING KIDS MENTORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2010-06-24",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "276-618-0759"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Peyton Moore, Jr, DDS
• Kayla Moore
• Takesha D Moore, PHARMD
• Amber Teegen Morton, PA-C
• Renee Mosley, FNP
• James K Muehleck, D.D.S.
• N&T Transportation Service
• Pernell Dean Nance, FNP-C, PMHNP-BC
• National Counseling Group, Inc
• Ndearing Love in Home Care

• Community/Behavioral Health Agency in Martinsville, VA
• Providers in Martinsville, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.