Organization Active NPI

Center for Advocacy Resilience & Empowerment LLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1659645687
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CENTER FOR ADVOCACY RESILIENCE & EMPOWERMENT LLC
Practice address
2921 Creek Moss Ave
Wake Forest, NC 27587-4886
Phone
(919) 339-8611
NPI assigned
Mar 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Authorized official

Name
Vanda Theophin-Michel, LCSW
Title
Ceo
Phone
(919) 339-8611

Specialties & licenses 1

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

Addresses

Primary practice location

2921 Creek Moss Ave
Wake Forest, NC 27587-4886

Mailing address

2921 Creek Moss Ave
Wake Forest, NC 27587-4886
Phone (919) 339-8611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331164800000",
    "number": "1659645687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2921 CREEK MOSS AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874886",
            "telephone_number": "919-339-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2921 CREEK MOSS AVE",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275874886",
            "telephone_number": "919-339-8611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR ADVOCACY RESILIENCE & EMPOWERMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A",
        "authorized_official_last_name": "THEOPHIN-MICHEL",
        "authorized_official_first_name": "VANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-339-8611",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.