Key Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

KEY THERAPY

Practice address

1412 Sharpe Rd
Burlington, NC 27217

Phone

(336) 350-2630

NPI assigned

Jun 7, 2013

Last updated

Jun 7, 2013By 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

Mrs. Tireka V Bambara

Title

Ceo

Phone

(336) 350-2630

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tireka V Greene-Bambara

  • Pastoral Counselor
  • Burlington, NC
  • NPI 1659614816
  NPD (past)

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1821436205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 SHARPE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272178774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 SHARPE RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "27217",
            "telephone_number": "336-350-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-07",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "BAMBARA",
        "authorized_official_first_name": "TIREKA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-350-2630",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kernodle Clinic, Inc
• Kernodle Healthcare Group, PLLC
• George Wallace Kernodle Jr., M.D.
• Harold B. Kernodle Jr., M.D.
• Kervin Mack DMD Ms PLLC
• Charles Key, LCAS-A
• Fozia Muhstaqe Khan, M.D.
• Neelam Salahuddin Khan, MD
• Saadat Ali Khan, M.D.
• Shahzeb Mohammad Khan, MD

• Community/Behavioral Health Agency in Burlington, NC
• Providers in Burlington, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2013; 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.