New River Service Authority

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL097002 Issued in NC

Legal business name

NEW RIVER SERVICE AUTHORITY

Doing business as

New River Behavioral HealthCare

Practice address

1430 Willow LN
West Park C61-2
North Wilkesboro, NC 28659-3551

Phone

(336) 667-5151

Fax

(828) 262-5687

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia P Andrews, LPC

Title

Ceo

Phone

(336) 372-4095

Specialties & licenses 1

Addresses

Other names 1

• New River Behavioral HealthCare Doing business as

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174683353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 STATE FARM RD",
            "address_2": "SUITE 508",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286074917",
            "telephone_number": "828-264-9007",
            "fax_number": "828-262-5687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 WILLOW LN",
            "address_2": "WEST PARK C61-2",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593551",
            "telephone_number": "336-667-5151",
            "fax_number": "828-262-5687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW RIVER SERVICE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-372-4095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL097002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New River Behavioral HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Omar Naji, M.D.
• Andy Adisorn Nakmanee, DO
• Alisha Nance
• Marguinia Lynn Nance, M.A.
• New River Mental Health Center (New River Behavioral HealthCare)
• Ashley Michelle Nichols, LCAS
• Gary Glenn Nichols, P.A.
• NMG Affiliate Practice I, LLC (Novant Health Oncology Specialists)
• Mary J Noland, LPN; PTA
• North Carolina CVS Pharmacy LLC (CVS Pharmacy #07317)

• Community/Behavioral Health Agency in North Wilkesboro, NC
• Providers in North Wilkesboro, 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 Aug 22, 2020; 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.