Empowerment for S.T.a.R.S, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

219293 Issued in NC

Legal business name

EMPOWERMENT FOR S.T.A.R.S, LLC

Practice address

1146 N Church St
Ste a
Burlington, NC 27217-2702

Phone

(336) 669-6283

NPI assigned

Aug 6, 2009

Last updated

Feb 9, 2010By 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

Ms. Kathy Machelle Wiggins

Title

Ceo

Phone

(336) 669-6283

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1407087646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CHURCH ST",
            "address_2": "STE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172702",
            "telephone_number": "336-669-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 N CHURCH ST",
            "address_2": "STE A",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172702",
            "telephone_number": "336-669-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERMENT FOR S.T.A.R.S, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "WIGGINS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "MACHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-669-6283",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "219293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.