The Alamance Academy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-001-230 Issued in NC

Legal business name

THE ALAMANCE ACADEMY

Practice address

605 S Church St
Burlington, NC 27215

Phone

(336) 350-8169

NPI assigned

May 27, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mollissie Peterson

Title

Program Director

Phone

(336) 437-4382

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Alamance Academy LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Alamance Academy, LLC

  • Community/Behavioral Health Agency
  • Burlington, NC
  • NPI 1093157240
  NPD tax ID
• Alamance Academy, LLC

  • Multi-Specialty Clinic/Center
  • Burlington, NC
  • NPI 1508038001
  NPD tax ID

Locations

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531440000000",
    "number": "1376922062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S CHURCH ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27215",
            "telephone_number": "336-350-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ALAMANCE ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2018-07-13",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MOLLISSIE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "336-437-4382",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-001-230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604306",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• The Hive Within, PLLC
• The Mental Health Association in North Carolina, Inc (Alamance-Caswell ACTT)
• The Mental Health Association in North Carolina, Inc (Alamance-Caswell CS)
• The Mental Health Association in North Carolina, Inc. (Belshire)

• Community/Behavioral Health Agency in Burlington, NC
• Providers in Burlington, 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 Jul 13, 2018; 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.