Organization Active NPI

Little Wing LLC

  • Community/Behavioral Health Agency
  • Durham, NC
National Provider Identifier
1922484369
Registry record updated Aug 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5466 Issued in NC
Legal business name
LITTLE WING LLC
Practice address
21 W Colony PL Ste 130
Durham, NC 27705-7201
Phone
(919) 260-3345
NPI assigned
Aug 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2015

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

Authorized official

Name
Mrs. Jennifer Harelson
Title
Owner
Phone
(919) 260-3345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 5466 NC Primary

Addresses

Primary practice location

21 W Colony PL Ste 130
Durham, NC 27705-7201

Mailing address

21 W Colony PL Ste 130
Durham, NC 27705-7201

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438992000000",
    "number": "1922484369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W COLONY PL STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W COLONY PL STE 130",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277057201",
            "telephone_number": "919-260-3345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE WING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-08",
        "last_updated": "2015-08-08",
        "status": "A",
        "authorized_official_last_name": "HARELSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-260-3345",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "5466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2015; 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.