Access Behavioral Assistance Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ACCESS BEHAVIORAL ASSISTANCE INC

Practice address

1703 Country Club Rd
Suite 304
Jacksonville, NC 28546-6008

Phone

(910) 219-1223

Fax

(910) 219-1205

NPI assigned

Jul 22, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Rachel Beth Purnell, P LCSW

Title

Vice President

Phone

(910) 219-1223

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216684800000",
    "number": "1700041597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-219-1223",
            "fax_number": "910-219-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD",
            "address_2": "SUITE 304",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466008",
            "telephone_number": "910-219-1223",
            "fax_number": "910-219-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS BEHAVIORAL ASSISTANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2008-07-22",
        "status": "A",
        "authorized_official_last_name": "PURNELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "910-219-1223",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P LCSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Jacksonville, 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 Jul 22, 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.