Organization Active NPI

Empowered to Succeed, Inc.

  • Community/Behavioral Health Agency
  • Burlington, NC
National Provider Identifier
1639356199
Registry record updated Jan 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EMPOWERED TO SUCCEED, INC.
Practice address
352 W Harden St
Suite C
Burlington, NC 27215-7516
Phone
(980) 253-4434
NPI assigned
Jan 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2009

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

Authorized official

Name
Ms. Detta Culp
Title
Executive Director
Phone
(980) 253-4434

Specialties & licenses 1

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

Addresses

Primary practice location

352 W Harden St
Suite C
Burlington, NC 27215-7516

Mailing address

352 W Harden St
Suite C
Burlington, NC 27215-7516
Phone (980) 253-4434

National Provider Directory

National Provider Directory
Tax ID family
Empowered to Succed Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

352 Harden St
#C
Burlington, NC 27215
Phone (980) 253-4434

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1639356199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 W HARDEN ST",
            "address_2": "SUITE C",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157516",
            "telephone_number": "980-253-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 W HARDEN ST",
            "address_2": "SUITE C",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272157516",
            "telephone_number": "980-253-4434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED TO SUCCEED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "CULP",
        "authorized_official_first_name": "DETTA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "980-253-4434",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; 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.