Exchange Clubs Child Abuse Prevention Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EXCHANGE CLUBS CHILD ABUSE PREVENTION CENTER

Doing business as

Exchange Family Center of Durham, NC

Practice address

3400 Croasdaile Dr Ste 206
Durham, NC 27705-6815

Phone

(919) 403-8249

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Leah Santibanez

Title

Executive Director

Phone

(919) 403-8249

Specialties & licenses 1

Addresses

Other names 1

• Exchange Family Center of Durham, NC Doing business as

Locations

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1336990340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR STE 206",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-403-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CROASDAILE DR STE 206",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277056815",
            "telephone_number": "919-403-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCHANGE CLUBS CHILD ABUSE PREVENTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "SANTIBANEZ",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-403-8249",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Exchange Family Center of Durham, NC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Durham, NC
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• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.