Amw Foundation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6507 Issued in NC

Legal business name

AMW FOUNDATION

Practice address

907 Hay St
Fayetteville, NC 28305-5366

Phone

(919) 802-1739

Fax

(919) 850-2325

NPI assigned

Aug 30, 2010

Last updated

Aug 30, 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

Mr. Chet West

Title

Director of Operations

Phone

(919) 850-2155

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMW FOUNDATION Former legal business name

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283126400000",
    "number": "1609182534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3209 GRESHAM LAKE RD",
            "address_2": "SUITE 113",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153757",
            "telephone_number": "919-850-2155",
            "fax_number": "919-850-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HAY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055366",
            "telephone_number": "919-802-1739",
            "fax_number": "919-850-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMW FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-30",
        "last_updated": "2010-08-30",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "CHET",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "919-850-2155",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "6507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMW FOUNDATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bala Ammisetti, MD
• Dwayne McPherson Ammons
• Teresa Taylor Ammons, MS,CCC-SLP
• Quadiedra Amos, NCC, LCMHC
• Andrea Ampuero
• Antonios Anagnostopoulos, DO
• Yaw Boateng Anane, PHARMD
• Anasa Home Health LLC
• Anchor Minds Health Solutions NC PLLC
• Ann Marie Anderson

• Mental Health Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.