Star Freedom

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

STAR FREEDOM

Practice address

1822 Eichelberger Dr
Fayetteville, NC 28303-6257

Phone

(910) 978-1424

NPI assigned

Apr 17, 2009

Last updated

Apr 17, 2009By 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

Prof. Michele Jackson, BS-QP

Title

President

Phone

(910) 978-1424

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1239926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239926400000",
    "number": "1982847125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 EICHELBERGER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036257",
            "telephone_number": "910-978-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1822 EICHELBERGER DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036257",
            "telephone_number": "910-978-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR FREEDOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-17",
        "last_updated": "2009-04-17",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-978-1424",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "BS-QP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shataybia Lyzell Stanley, LCSWA
• Howard Stansberry, MD
• Donna Dyer Staples, PHYSICAL THERAPY AS
• Leslie Stapleton
• Star Behavioral Services, Inc
• Aminah Starks
• Jacqueline Humphrey Starks, LPTA
• Quenicia Nobles Starks, MSOT, OTR/L
• Teressa Starr, DO
• Stash Home Care Agency LLC

• 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 Apr 17, 2009; 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.