Iwin, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IWIN, LLC

Practice address

909 S Main St
Suite 206
Salisbury, NC 28144-6416

Phone

(704) 754-6690

NPI assigned

Feb 1, 2016

Last updated

Feb 1, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bonny Valentine, CPC,MLC

Title

Ceo

Phone

(704) 245-6409

Specialties & licenses 3

Addresses

Other names 1

• Bonny Valentine Former legal business name

Locations

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

{
    "created_epoch": "1454284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454284800000",
    "number": "1326406729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446416",
            "telephone_number": "704-754-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 S MAIN ST",
            "address_2": "SUITE 206",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281446416",
            "telephone_number": "704-754-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IWIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-01",
        "last_updated": "2016-02-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "BONNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-245-6409",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC,MLC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bonny Valentine",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Felicia Maria Jabs, MA, BCBA, LBA
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• Community/Behavioral Health Agency in Salisbury, NC
• Providers in Salisbury, 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 Feb 1, 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.

Verify at the official NPI Registry.