Sassafras Tea Co.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SASSAFRAS TEA CO.

Practice address

521 Briar Creek Rd Ste a
Charlotte, NC 28205-6904

Phone

(980) 227-1229

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Asiya WilliamsNPI 1265183743

Title

Officer

Phone

(910) 262-1247

Specialties & licenses 5

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Asiya Williams, NCPSS

  • Peer Specialist
  • Charlotte, NC
  • NPI 1265183743
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1972365211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 CRABAPPLE TREE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282141063",
            "telephone_number": "910-262-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BRIAR CREEK RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056904",
            "telephone_number": "980-227-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASSAFRAS TEA CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ASIYA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "910-262-1247"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Khanyisa Sartor, MD
• Nicole Fara Sartor, NP
• Ashley Taylor Sarvis, NP-C
• Karim Sasa
• Patrick Sashin
• Sassy N Classy LLC
• Sassy Stylez
• Marisol Sastoque-Tiller, DDS
• Avni Kiritkumar Satasia, PA
• Madhankumar Sathyamoorthy, M.D.

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, 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 Jan 23, 2024; 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.