My Goal Our Mission Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MY GOAL OUR MISSION SERVICES, LLC

Practice address

235 West Lake Dr
Suite 201
Fayetteville, NC 28314

Phone

(919) 800-0016

Fax

(866) 812-0587

NPI assigned

Oct 16, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Allison Marie Chisley

Title

Owner

Phone

(919) 523-8651

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

My Goal Our Mission Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• My Goal Our Mission Services LLC

  • Community/Behavioral Health Agency
  • Garner, NC
  • NPI 1033401047
  NPD tax ID
• My Goal Our Mission Services, LLC

  • Professional Counselor
  • Garner, NC
  • NPI 1265747927
  NPD tax ID

Locations

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1902234685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 FOREST HILLS DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275293624",
            "telephone_number": "919-800-0016",
            "fax_number": "866-812-0587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 WEST LAKE DR",
            "address_2": "SUITE 201",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "919-800-0016",
            "fax_number": "866-812-0587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY GOAL OUR MISSION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "CHISLEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-523-8651",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ravielle Musser
• Sadia Mustarin, MD
• Pebbles Mutchler
• My Blue Sky PC
• My Blue Sky, PC
• My Next Mattress Outlet
• Annabel Ruth Myers
• Brittney Denise Myers
• Kendall Mikayla Myers, NP
• Myeyedr Optometry of North Carolina, PLLC

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, 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 Oct 24, 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.