Tja Family Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

TJA FAMILY SERVICES LLC

Practice address

234 N Madison Blvd
Roxboro, NC 27573-5302

Phone

(336) 558-4479

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Larissa Bowles Alston

Title

Member

Phone

(336) 558-4479

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1841652765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 BARN OWL CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274068065",
            "telephone_number": "336-558-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 N MADISON BLVD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275735302",
            "telephone_number": "336-558-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJA FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "ALSTON",
        "authorized_official_first_name": "LARISSA",
        "authorized_official_middle_name": "BOWLES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "336-558-4479"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Roxboro, NC
• Providers in Roxboro, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.