Liasion

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

096-252 Issued in NC

Legal business name

LIASION

Practice address

405A S Pointe Dr
Winterville, NC 28590-9891

Phone

(919) 738-1837

Fax

(919) 738-1837

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 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

Anna Margaret Battle

Title

Administrative Director

Phone

(919) 734-0142

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1952739088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 E ASH ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303855",
            "telephone_number": "919-734-0142",
            "fax_number": "919-734-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405A S POINTE DR",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285909891",
            "telephone_number": "919-738-1837",
            "fax_number": "919-738-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIASION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "BATTLE",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "919-734-0142"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "096-252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NORTH CAROLINA DEPARTMENT OF THE SEC. OF STATE",
            "identifier": "096-252",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Winterville, NC
• Providers in Winterville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.