Jennyl Alley
Individual provider Active NPI Community/Behavioral Health Agency · Monroe, NC
NPI 1235368259 · NPPES record last updated Nov 7, 2013
Key facts
- NPI
- 1235368259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 4908 Spring Meadow LN
Monroe, NC 28110-9001 - Phone
- (704) 996-5179
- NPI assigned
- Jul 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alley Cat Developmental Services | Community/Behavioral Health | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | |||
| Community/Behavioral Health Agency | 251S00000X | NC | Yes |
Addresses
Primary practice location
4908 Spring Meadow LN
Monroe, NC 28110-9001
Mailing address
4908 Spring Meadow LN
Monroe, NC 28110-9001
Phone (704) 996-5179
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251S00000X | Medicaid | NC |
Other providers in Monroe, NC
- Ali Nili, DMD, P.a.
- Fatima Ali
- Kymberly Rhea Allen
- Lynn M. Allen
- Alley Cat Developmental Services
- Brandon C Allison
- David Campbell Allison
- Mia Samantha Allmon
- Alpha Medical Supply, Inc
- Monica Alvarez
All providers in Monroe, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.