Exceptional Family Support, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXCEPTIONAL FAMILY SUPPORT, LLC

Practice address

7325 W Friendly Ave Ste F
Greensboro, NC 27410-6211

Phone

(336) 285-6173

Fax

(336) 740-9171

NPI assigned

Feb 18, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Kimberlie Ann Lowery

Title

Owner

Phone

(336) 362-9144

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1669640207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 W FRIENDLY AVE STE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106211",
            "telephone_number": "336-285-6173",
            "fax_number": "336-740-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 W FRIENDLY AVE STE F",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274106211",
            "telephone_number": "336-285-6173",
            "fax_number": "336-740-9171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7325 W Friendly Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274106211",
            "country_code": "US",
            "telephone_number": "336-763-0166",
            "fax_number": "336-740-9171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EXCEPTIONAL FAMILY SUPPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "LOWERY",
        "authorized_official_first_name": "KIMBERLIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-362-9144",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.