ALPHA COMMUNITY SUPPORT SERVICE LLC (NPI# 1518282201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518282201 |
Entity Type | Organization |
Organization Name | ALPHA COMMUNITY SUPPORT SERVICE LLC |
Practice Address |
114 S Hancock St Rockingham NC 28379-3630 |
Practice Telephone | 9104100459 |
Practice Fax Number | 9104100653 |
Mailing Telephone | 9104100459 |
Mailing Fax Number | 9104100653 |
Enumeration Date | 2010-04-06 |
Last Update Date | 2010-04-06 |
Authorized Official Name | MS. MICHELLE YVETTE ELLERBE (OWNER) |
Authorized Official Telephone | 9104100459 |
Authorized Official Credential | MA, QP |
Is Organization Subpart | Y |
Parent Organization Name | ALPHA COMMUNITY SUPPORT SERVICE LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TP0016X |
Psychologist Specialization: Prescribing (Medical) |
33577 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 8302367 | 05 | |
NC | 6006930 | 05 |
Street Address |
114 S HANCOCK ST |
City | ROCKINGHAM |
State | NC |
Zip Code | 28379-3630 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134728157 | Yonathan Nigatu Dds Pllc | Dentist | 1355 E Broad Ave., Rockingham, NC 28379 | 2020-10-21 |
1780202788 | Rosemond Salia | Pharmacy | 720 E Highway 74 Business, Rockingham, NC 28379 | 2020-07-07 |
1790311835 | Daymark Recovery Services Inc | Community/Behavioral Health | 523 N Us Hwy 1, Suite B, Rockingham, NC 28379 | 2020-03-20 |
1639646318 | Lakir Patel | Pharmacist | 720 E Highway Business 74, Rockingham, NC 28379 | 2018-10-31 |
1205368180 | Karen Mclaurin | Early Intervention Provider Agency | 138 Ivy Trail, Rockingham, NC 28379 | 2017-03-30 |
1134574130 | Laura Mcrae Harris | Counselor | 2202 Fayetteville Road, Rockingham, NC 28379 | 2016-04-27 |
1275904542 | Marsha A Murphy | Counselor | 325 South Long Drive, Rockingham, NC 28379 | 2015-10-13 |
1659741361 | Urgent Cares of America North Carolina Inc | Non-Pharmacy Dispensing Site | 1262 East Broad Avenue, Rockingham, NC 28379 | 2015-10-07 |
1841683448 | Tawanda L Bennett | Counselor | 2202 Fayetteville Rd., Rockingham, NC 28379 | 2015-03-06 |
1841682846 | Patricia Ann Flowers | Counselor | 119 Rockinham Rd, Rockingham, NC 28379 | 2015-02-27 |
Find all providers in zip 28379 |
Taxonomy Code | 103TP0016X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Prescribing (Medical) |
Those licensed psychologists who have completed specialized, post-doctoral training in psychopharmacology, passed a national proficiency examination in psychopharmacology, and who are authorized by state statute to prescribe medications, in accordance with their state law and state licensing authority, for the evaluation, diagnosis, management and treatment of mental, nervous, emotional, behavioral, and related disorders. |
Notes: Source: Louisiana Academy of Medical Psychologists Note: Some states issue licenses under Medical Psychologist. [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811255037 | Cb Recovery Services, LLC | Psychologist | 21 Anna Drive, Suite 105 and 106, Clayton, NC 27520-2181 | 2012-04-25 |
1689974982 | Carolina's Creative Counseling, Pa | Psychologist | 520 Mulberry Street, Lenoir, NC 28645-5725 | 2010-11-02 |
1114253556 | Learning Links Educational Network Services Center | Psychologist | 5780 Ramsey Street, Fayetteville, NC 28311-3416 | 2009-10-20 |
1871797415 | Martin Weinrauch P.a. | Psychologist | 2850 Village Dr Ste 104, Fayetteville, NC 28304-3864 | 2007-06-14 |
1093727893 | Genesishouse, Inc. | Psychologist | 549 Cox Rd, Suite A, Gastonia, NC 28054-0628 | 2006-08-12 |
1700291663 | Chapmans Management Company | Psychologist | 918 Hope Mills Rd, Fayetteville, NC 28304-4243 | 2014-06-30 |
1558615237 | Access Family Servides, Inc. | Psychologist | 2018 Fort Bragg Rd, Fayetteville, NC 28303-7037 | 2012-11-02 |
1619231776 | Max Psychiatry PC | Psychologist | 6402 Mccrimmon Pkwy, Suite - 200, Morrisville, NC 27560-8138 | 2012-07-03 |
1063784304 | Champion & Champion Pa Inc | Psychologist | 2609 N Duke St, 602, Durham, NC 27704-3048 | 2012-02-02 |
1275821597 | Therapeutic Intervention Group, LLC | Psychologist | 1100 S Mint St, Suite 108, Charlotte, NC 28203-4049 | 2011-07-20 |
Find all providers with the same taxonomy |
City | ROCKINGHAM |
Zip Code | 28379 |
Please comment or provide details below to improve the information on ALPHA COMMUNITY SUPPORT SERVICE LLC.
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.