Advantage

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

03-611 Issued in WV

Legal business name

ADVANTAGE

Practice address

2402 Kanawha Blvd E
Charleston, WV 25311-2323

Phone

(304) 389-5535

Fax

(304) 346-8829

NPI assigned

Apr 21, 2016

Last updated

Apr 21, 2016By 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

Dr. Marie Estep, PH.D, AADC

Title

Addictions Specialist

Phone

(304) 346-8829

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Advantage2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advantage

  • Community/Behavioral Health Agency
  • Charleston, WV
  • NPI 1669824561
  NPD tax ID

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1831543289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 FORT HILL DR",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141070",
            "telephone_number": "304-346-8829",
            "fax_number": "304-346-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 KANAWHA BLVD E",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253112323",
            "telephone_number": "304-389-5535",
            "fax_number": "304-346-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ESTEP",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADDICTIONS SPECIALIST",
        "authorized_official_telephone_number": "304-346-8829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, AADC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "03-611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV STATE TAX DEPARTMENT BUSINESS REGISTRATION",
            "identifier": "2245-0179",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luke Thomas Adkison, DO
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• Advantage
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• Affect Provider Group P.S.C. (Affect)
• Affect Therapeutics, Inc.
• Affordable Dentures & Implants of West Virginia, PLLC (Affordable Dentures & Implants - South Charleston)

• Community/Behavioral Health Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.