Avenues to Success, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AVENUES TO SUCCESS, INC.

Practice address

4822 Albemarle Rd Ste 220
Charlotte, NC 28205-6612

Phone

(540) 819-7342

NPI assigned

Jul 13, 2008

Last updated

Jul 13, 2008By 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

Myisha Willis, MA

Title

Executive Director

Phone

(540) 819-7342

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215907200000",
    "number": "1649434267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 BEATTIES FORD RD STE 107-308",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282162859",
            "telephone_number": "540-819-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 ALBEMARLE RD STE 220",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056612",
            "telephone_number": "540-819-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES TO SUCCESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-13",
        "last_updated": "2008-07-13",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MYISHA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "540-819-7342",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 13, 2008; 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.