NPIMap

Organization Active NPI

Drug Prevention Resource Center D.B.a. Inneract Alliance

  • Community/Behavioral Health Agency
  • Lakeland, FL
National Provider Identifier
1508202458
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DRUG PREVENTION RESOURCE CENTER D.B.A. INNERACT ALLIANCE
Practice address
621 S Florida Ave
Lakeland, FL 33801-5230
Phone
(863) 802-0777
Fax
(863) 802-0065
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Authorized official

Name
Ms. Angela P. Ellison
Title
Executive Director
Phone
(863) 802-0777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

621 S Florida Ave
Lakeland, FL 33801-5230

Mailing address

621 S Florida Ave
Lakeland, FL 33801-5230
Phone (863) 802-0777

Other names 1

  • InnerAct Alliance Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Drug Prevention Resource Center Dba Inneract Alliance3 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.

Locations

621 S Florida Ave
Lakeland, FL 33801
Phone (863) 802-0777

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369008000000",
    "number": "1508202458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015230",
            "telephone_number": "863-802-0777",
            "fax_number": "863-802-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015230",
            "telephone_number": "863-802-0777",
            "fax_number": "863-802-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRUG PREVENTION RESOURCE CENTER D.B.A. INNERACT ALLIANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "863-802-0777",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnerAct Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; 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.