Victory Healthcare Services, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VICTORY HEALTHCARE SERVICES, INC

Practice address

3716 Summer PL
Raleigh, NC 27604-4252

Phone

(919) 376-8521

Fax

(919) 803-1149

NPI assigned

Aug 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Chris Adiewere Irona

Title

Administrator

Phone

(919) 376-8521

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1407040785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20738",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276190738",
            "telephone_number": "919-376-8521",
            "fax_number": "919-803-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3716 SUMMER PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276044252",
            "telephone_number": "919-376-8521",
            "fax_number": "919-803-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORY HEALTHCARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "IRONA",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "ADIEWERE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-376-8521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer G Vick, M.D.
• Blake Vickers, DC
• Victoria F Lucking PLLC LCSW
• Victorious Healthcare, Inc.
• Victory Healthcare Inc
• Victory Home Care, Inc
• Victory Residential Services LLC
• Victory Wellness LLC
• Vida Counseling, PLLC
• Video Therapy

• Adult Mental Health Clinic/Center in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.