ALEXANDER YOUTH NETWORK (NPI# 1265722557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265722557 |
| Entity Type | Organization |
| Organization Name | ALEXANDER YOUTH NETWORK |
| Practice Address |
5855 Executive Center Dr Charlotte NC 28212-8883 |
| Mailing Address |
6220 Thermal Rd Charlotte NC 28211-5630 |
| Practice Telephone | 7043668712 |
| Practice Fax Number | 7043626484 |
| Mailing Telephone | 7043668712 |
| Mailing Fax Number | 7043628464 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |
| Authorized Official Name | MR. CRAIG BASS (PRESIDENT & CEO) |
| Authorized Official Telephone | 7043668712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3410009 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619510021 | Alexander Youth Network | Community/Behavioral Health | 398 Owen Road, Rooms #616 & 618, Lexington, NC 27292 | 2019-10-18 |
| 1982246401 | Alexander Youth Network | Community/Behavioral Health | 2061 E Holly Grove Rd, Trailers #11 & #12, Lexington, NC 27292-9795 | 2019-10-16 |
| 1649831470 | Alexander Youth Network | Community/Behavioral Health | 1601 Huffine Mill Rd Bldg C, Greensboro, NC 27405-5509 | 2019-06-24 |
| 1316507551 | Alexander Youth Network | Community/Behavioral Health | 309 Concord St Ste 101&201, Greensboro, NC 27406-3661 | 2019-06-19 |
| 1740840990 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 1601 Huffine Mill Rd., Bldg B, Greensboro, NC 27405-5509 | 2019-06-19 |
| 1073173340 | Alexander Youth Network | Community/Behavioral Health | 155 Northpoint Ave Ste 210, High Point, NC 27262-7738 | 2019-06-18 |
| 1386128031 | Alexander Youth Network | Community/Behavioral Health | 2115 Hope Mills Rd, Fayetteville, NC 28304-4256 | 2018-09-19 |
| 1780174995 | Alexander Youth Network | Community/Behavioral Health | 401 Liberty Dr, Thomasville, NC 27360-4855 | 2018-05-14 |
| 1578067146 | Alexander Youth Network | Psychiatric Residential Treatment Facility | 6220e Thermal Rd, Charlotte, NC 28211-5630 | 2018-03-20 |
| 1811497639 | Alexander Youth Network | Community/Behavioral Health | 1608 Camden Rd, Rooms #16 & #17, Fayetteville, NC 28306-1734 | 2018-02-19 |
| Street Address |
5855 EXECUTIVE CENTER DR |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28212-8883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992856983 | Michelle Franklin Powell | Counselor | 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 | 2007-01-16 |
| 1861016784 | Anjalaya Robinson | Social Worker | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2020-06-05 |
| 1720620735 | Hannah Rice | Social Worker | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2019-10-10 |
| 1720638380 | Aisha Serene Calhoun | Social Worker | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2019-09-16 |
| 1306494109 | Katie Nicole Christensen | Counselor | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2019-08-27 |
| 1124434832 | Ashley Taylor Rivas | Marriage & Family Therapist | 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 | 2014-07-02 |
| 1821403197 | Alexander Youth Network | Marriage & Family Therapist | 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 | 2014-06-25 |
| 1851720205 | George Cannella | Counselor | 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 | 2013-11-06 |
| 1417201989 | Krystal Penman Mangandi | Social Worker | 5855 Executive Center Dr, Suite 111, Charlotte, NC 28212-8883 | 2012-11-05 |
| 1053681510 | Amy Lynn Hooper | Counselor | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2011-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371250 | Amy Sierra Conner | Counselor | 5700 Executive Drive Suite 110, Charlotte, NC 28212 | 2019-11-25 |
| 1700447307 | Nagarani Nagarajan Dds.,pllc | Clinic/Center | 2510 Vista Drive, Suite 100, Charlotte, NC 28212 | 2019-06-25 |
| 1700441011 | Khadija Brown | Counselor | 6601 English Hills Dr, Charlotte, NC 28212 | 2019-05-02 |
| 1245711514 | Savannah Huneycutt | Dentist | 6708 Albemarle Road, Charlotte, NC 28212 | 2018-08-24 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1447701511 | Christine Walker Physical Therapy, LLC | Clinic/Center | 8850 Monroe Rd, Charlotte, NC 28212 | 2016-10-24 |
| 1013376128 | Colby Edward Joyner | Physician Assistant | 7005 Wallace Rd Ste 600, Charlotte, NC 28212 | 2016-02-17 |
| 1760814412 | Nguyen Tri Nguyen, Dds, Pa | Dentist | 6404 Albemarle Road, #c, Charlotte, NC 28212 | 2013-08-05 |
| 1477806834 | Tara Thompson | Counselor | 6900 Democracy Dr., Charlotte, NC 28212 | 2012-10-23 |
| 1568711109 | Mary Dianne Branch | Counselor | 8130 Runaway Bay Drive Apt Q, Charlotte, NC 28212 | 2012-08-29 |
| Find all providers in zip 28212 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1518344217 | Impact Healthcare Solutions LLC | Clinic/Center | 1411 Highfield Ct, Charlotte, NC 28216-1827 | 2015-05-01 |
| 1487952362 | Motivation & Inspiration Family Services | Clinic/Center | 7008 E Wt Harris Blvd Ste 7, Charlotte, NC 28215-4298 | 2011-03-02 |
| 1124484621 | Pathways To Growth Counseling, Pllc | Clinic/Center | 5200 Park Rd, Suite 236, Charlotte, NC 28209-3650 | 2016-01-13 |
| 1598164188 | Jessica L Massey,lcsw, Pllc | Clinic/Center | 3315 Springbank Ln, Suite 302, Charlotte, NC 28226-3197 | 2014-08-19 |
| 1083856595 | Alexander Youth Network | Clinic/Center | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-03-30 |
| 1437391943 | Alexander Youth Network | Clinic/Center | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-03-30 |
| 1649450487 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-11-09 |
| 1093995839 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| Find all providers in CHARLOTTE | ||||
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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.