Active NPI
Alpha Community Support Services, LLC
- Community/Behavioral Health Agency
- Laurinburg, NC
National Provider Identifier
1982928073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ALPHA COMMUNITY SUPPORT SERVICES, LLC
- Practice address
- 415 E Church St
Laurinburg, NC 28352-3818 - Phone
- (910) 410-0459
- Fax
- (910) 410-0653
- NPI assigned
- Mar 18, 2010
- Organization subpart
- Yes
- Parent organization
- ALPHA COMMUNITY SUPPORT SERVICES, LLC
Authorized official
NPPES NPI Registry- Name
- Ms. Michelle Yvette Ellerbe, MA, QP
- Title
- Owner
- Phone
- (910) 410-0459
Corporate family (same tax ID) 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Counselor
- Rockingham, NC
- NPI 1427236173
-
- Prescribing (Medical) Psychologist
- Rockingham, NC
- NPI 1518282201
National Provider Directory
National Provider Directory- Tax ID family
- Alpha Community Support Services LLC
- Part of
- Alpha Community Support Services LLC
Locations
415 E Church St
Laurinburg, NC 28352
Phone (910) 410-0459
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
415 E Church St
Laurinburg, NC 28352-3818
Mailing address
415 E Church St
Laurinburg, NC 28352-3818
Phone (910) 410-0459
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8302773 | Medicaid | NC |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 18, 2010.
{
"created_epoch": "1268870400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268870400000",
"number": "1982928073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 E CHURCH ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523818",
"telephone_number": "910-410-0459",
"fax_number": "910-410-0653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 E CHURCH ST",
"city": "LAURINBURG",
"state": "NC",
"postal_code": "283523818",
"telephone_number": "910-410-0459",
"fax_number": "910-410-0653"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPHA COMMUNITY SUPPORT SERVICES, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ALPHA COMMUNITY SUPPORT SERVICES, LLC",
"enumeration_date": "2010-03-18",
"last_updated": "2010-03-18",
"status": "A",
"authorized_official_last_name": "ELLERBE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-410-0459",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA, QP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8302773",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laurinburg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.