Lbs4Lbs Athletic Center, CDC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LBS4LBS ATHLETIC CENTER, CDC

Practice address

143 Emily Dr # 4
Winterville, NC 28590-8448

Phone

(252) 375-7763

Fax

(252) 294-1137

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Alton M Rogers

Title

Owner

Phone

(252) 375-7763

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1598052987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 EMILY DR # 4",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 EMILY DR # 4",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908448",
            "telephone_number": "252-375-7763",
            "fax_number": "252-294-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LBS4LBS ATHLETIC CENTER, CDC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "ALTON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-375-7763"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Takirra Koonce
• Renae Braddy Kosha, DDS
• Thomas Carlyle Langley IV, MSW, LCSW
• Lappin Counseling Services, PLLC
• Rose Marie Lawrence, LPCA
• LCDJ Enterprises, LLC
• Learning Through Play, Inc
• Barbara Anderson Lee, LCSW
• Gary P Lee, LCAS-A
• Katie Jane Leegins-Vinson, LCSW

• Community/Behavioral Health Agency in Winterville, NC
• Providers in Winterville, 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 6, 2011; 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.