Sankofa Youth Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6568 Issued in SC

Legal business name

SANKOFA YOUTH SERVICES, INC

Practice address

1131 Hannah Rae CT
Charlotte, NC 28214-1047

Phone

(980) 213-9533

NPI assigned

Mar 15, 2017

Organization subpart

No

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

Authorized official

Name

Tarsha Washington

Title

Ceo/Founder

Phone

(980) 213-9533

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1639610314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 HANNAH RAE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141047",
            "telephone_number": "980-213-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 HANNAH RAE CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141047",
            "telephone_number": "980-213-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-15",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "TARSHA",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "980-213-9533"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "SC",
            "license": "6568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole D Sangster Lucas, MSW, LCSW
• Srinivasa Reddy Sanikommu, MD
• Sanita Moulton, LMFT Dba North End Therapeutic Services
• Clayton Sankey, D.C.
• Sankofa 34 Mens Healing Hub
• Julia Powell Sanniota, PH.D.
• Anthony Joseph Sansone Jr., PHARMD
• Jose Carlos Santa
• Bellanice Marie Santana, BCBA
• Samuel Santander, MD

• All providers in Charlotte, NC
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.