Allied Behavioral Healthcare Inc
Organization Active NPI Community/Behavioral Health Agency · Jacksonville, NC
NPI 1992833503 · NPPES record last updated Sep 29, 2008
Key facts
- NPI
- 1992833503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ALLIED BEHAVIORAL HEALTHCARE INC
- Practice address
- 2507 N Marine Blvd
Jacksonville, NC 28546-6211 - Phone
- (910) 219-4100
- NPI assigned
- Mar 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Jodi Lee Wiley
- Title
- Owner
- Phone
- (910) 219-4100
Corporate family (same tax ID) 1
Practitioners 1
-
Tracy Elsenraat, MA, LPC, ATR-BC
National Provider Directory
- Tax ID family
- Allied Behavioral Healthcare Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
2507 N Marine Blvd
Jacksonville, NC 28546-6211
Mailing address
2507 N Marine Blvd
Jacksonville, NC 28546-6211
Phone (910) 219-4100
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8301355 | Medicaid | NC | |
| 8301355B | Medicaid | NC |
Other providers in Jacksonville, NC
- Kimberly Ann Allen
- Monique Stone Allen
- Myah Allen
- Andrea F Alleyne
- David Huston Allgood
- Allied Behavioral Healthcare, Inc.
- Allpointz Inc
- Alluring Health Care, LLC
- Mohamad Almalla
- John Leonard Almeida Jr.
All providers in Jacksonville, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.