E. T. Community Behavioral Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

E. T. COMMUNITY BEHAVIORAL SERVICES LLC

Practice address

5317 Ian Dr
MC Leansville, NC 27301-8123

Phone

(336) 549-8734

Fax

(336) 291-3012

NPI assigned

Oct 10, 2024

Organization subpart

No

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

Authorized official

Name

Franklin Achilike, BS,QPNPI 1417674573

Title

Director

Phone

(336) 549-8734

Specialties & licenses 5

Addresses

Other identifiers 1

Other names 1

• E. T. COMMUNITY BEHAVIORAL SERVICES LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Franklin Chukwudi Achilike

  • Community Health Worker
  • MC Leansville, NC
  • NPI 1417674573
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1124848650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CORPORATE CENTER CT STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274083839",
            "telephone_number": "336-549-8734",
            "fax_number": "336-291-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5317 IAN DR",
            "city": "MC LEANSVILLE",
            "state": "NC",
            "postal_code": "273018123",
            "telephone_number": "336-549-8734",
            "fax_number": "336-291-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. T. COMMUNITY BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "ACHILIKE",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-549-8734",
        "authorized_official_credential": "BS,QP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1417674573",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E. T. COMMUNITY BEHAVIORAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "E. T. COMMUNITY BEHAVIORAL SERVICES LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kaiya Clay
• Laura L Cole, OTD, OTR/L
• Maureen Olaitan Dosunmu-Kagha, NP
• Sarah Jean Douglas, LMBT
• Driver Rehabilitation Services, PA
• Excellent Care Advocacy LLC
• Fairhands Services
• Mary T Wrenn Farmer, LPCA , CRC
• Ronald Flack Jr., LCAS, CSI
• Frank & Raq Afl & Associates LLC Dba: Trumind Behavioral Health Services

• Community/Behavioral Health Agency in MC Leansville, NC
• Providers in MC Leansville, 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 Dec 17, 2024; 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.