ASSOCIATED FAMILY AND LIFE SERVICES, LLC (NPI# 1487805321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487805321 |
| Entity Type | Organization |
| Organization Name | ASSOCIATED FAMILY AND LIFE SERVICES, LLC |
| Practice Address |
2144 Page Rd Suite 204 Durham NC 27703-5952 |
| Practice Telephone | 9197972507 |
| Practice Fax Number | 9199088207 |
| Mailing Telephone | 9197972507 |
| Mailing Fax Number | 9199088207 |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2014-05-12 |
| Authorized Official Name | MR. WINSTON VICKERS (DIRECTOR) |
| Authorized Official Telephone | 9197249157 |
| Authorized Official Credential | BSBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305R00000X | Preferred Provider Organization | Managed Care Organizations | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | ASSOCIATED FAMILY AND LIFE SERVICES, LLC | Winston Vickers, 2144 Page Rd., Suite 204, Durham, NC 27703 |
| Street Address |
2144 PAGE RD SUITE 204 |
| City | DURHAM |
| State | NC |
| Zip Code | 27703-5952 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720203771 | Jessica S Tischner | Psychologist | 2144 Page Rd, Suite 102, Durham, NC 27703-5952 | 2007-04-16 |
| 1972950400 | Carman Cooper | Social Worker | 2144 Page Rd, Ste. 204, Durham, NC 27703-5952 | 2016-05-13 |
| 1720455033 | Andrain Cheanette Horton | Counselor | 2144 Page Rd, 204, Durham, NC 27703-5952 | 2015-08-24 |
| 1144521816 | The Perfect Nurse, LLC | In Home Supportive Care | 2144 Page Rd, Suite 202, Durham, NC 27703-5952 | 2010-11-10 |
| 1457540700 | Life Based Conceptions, LLC | Case Management | 2144 Page Rd, Suite 102, Durham, NC 27703-5952 | 2007-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285235218 | Joseph Omalemigbo Abgateyiniro | Durable Medical Equipment & Medical Supplies | 1810 Shiva Court, Durham, NC 27703 | 2020-11-05 |
| 1326654278 | Step By Step In Home Care LLC | Home Health | Imperial Business Park, 4819 Emperor Blvd Suite 400, Durham, NC 27703 | 2020-09-16 |
| 1023598463 | Impact Therapy Services | Speech-Language Pathologist | 6 Winnabow Court, Durham, NC 27703 | 2018-08-15 |
| 1326536327 | Renal Treatment Centers - Mid-atlantic, Inc. | Clinic/Center | 1100 N Miami Blvd Ste 500a, Durham, NC 27703 | 2018-04-25 |
| 1033621719 | Duke University | Preventive Medicine | 4825 Creekstone Drive, Suite 105, Durham, NC 27703 | 2017-11-02 |
| 1023535564 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3725 Wake Forest Hwy, Durham, NC 27703 | 2017-08-25 |
| 1487194171 | Shivani L. Chudasama | Social Worker | 5475 Lumley Rd Ste 103, Durham, NC 27703 | 2017-03-01 |
| 1356886030 | Rgh Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 4234 Surles Court, Suite 100, Durham, NC 27703 | 2017-01-04 |
| 1780032821 | Victory Speech Therapy Services, Pllc | Speech-Language Pathologist | 1533 Ellis Rd., Apt J208, Durham, NC 27703 | 2016-05-31 |
| 1124422373 | Helene Azimbi Fonebi | Pharmacist | 8 Gandhi Dr, Durham, NC 27703 | 2014-10-17 |
| Find all providers in zip 27703 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205987 | Kadijah Salaam | Counselor | 7506 Morrell Ln, Durham, NC 27713-6664 | 2020-08-12 |
| 1386278224 | Mindful Bodies | Counselor | 1058 W Club Blvd Ofc 303c, Durham, NC 27701-1104 | 2020-03-01 |
| 1831722834 | Ingle Reid | Counselor | 1058 W Club Blvd Ofc Area3, Durham, NC 27701-1104 | 2020-02-18 |
| 1427681691 | Faith Horizon Counseling LLC | Counselor | 2310 S Miami Blvd Ste 232, Durham, NC 27703-4900 | 2020-02-17 |
| 1255963849 | Olivia Walters | Counselor | 1719 Palmer St Apt G, Durham, NC 27707-1151 | 2020-02-11 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1649815929 | Nuyou Counseling Services, Pllc | Counselor | 901 Chalk Level Rd Apt H9, Durham, NC 27704-1643 | 2019-11-11 |
| 1245884279 | Kaytie Mero | Counselor | 5317 Highgate Dr Ste 213, Durham, NC 27713-6622 | 2019-07-29 |
| 1104488543 | Raquel Goode | Counselor | 1801 Fayetteville St Apt 20001c, Durham, NC 27707-3129 | 2019-07-06 |
| 1073171559 | Marina Kingston Biggs | Counselor | 515 Tall Oaks Dr, Durham, NC 27713-9358 | 2019-05-30 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.