ALEXANDER YOUTH NETWORK (NPI# 1558595736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558595736 |
| Entity Type | Organization |
| Organization Name | ALEXANDER YOUTH NETWORK |
| Practice Address |
1904 Dallas-cherryville Hwy Dallas NC 28034-7706 |
| Mailing Address |
Po Box 220632 Charlotte NC 28222-0632 |
| Practice Telephone | 7049229115 |
| Mailing Telephone | 7043668712 |
| Mailing Fax Number | 7043628464 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2010-04-28 |
| 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 | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8301458R | 05 | |
| NC | 8301458I | 05 | |
| NC | 8301458 | 05 | |
| NC | 8301458H | 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 |
1904 DALLAS-CHERRYVILLE HWY |
| City | DALLAS |
| State | NC |
| Zip Code | 28034-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467759548 | Nyayp Therapeutic Services | Counselor | 1012 Philadelpia Church Rd, Dallas, NC 28034 | 2011-02-25 |
| 1790090959 | Nyayp, LLC | Counselor | 1012 Philadelphia Church Road, Ste A, Dallas, NC 28034 | 2010-08-12 |
| 1952537359 | Vimal Patel | Pharmacist | 915 W. Trade Street, Dallas, NC 28034 | 2009-06-01 |
| 1730327305 | Ingles Markets Inc | Pharmacy | 715 W Trade St, Dallas, NC 28034 | 2009-02-04 |
| 1346365848 | Dallas Express Pharmacy | Durable Medical Equipment & Medical Supplies | 111 North Hoffman, Suite A, Dallas, NC 28034 | 2007-03-21 |
| 1679577027 | Joshua W Baker | Optometrist | 820 Lower Dallas Hwy, Dallas, NC 28034 | 2005-06-13 |
| 1518469204 | Daria Fowler | Counselor | 107 N Summey St, Dallas, NC 28034 | 2018-03-08 |
| 1295106011 | Tolulope Alokolaro | Pharmacist | 1300 Dallas Cherryville Hwy, Dallas, NC 28034 | 2015-10-20 |
| 1679690994 | Karen D Packer | Speech-Language Pathologist | 1906 Dallas Cherryville Hwy, Dallas, NC 28034-0899 | 2007-03-23 |
| 1144323833 | North Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3126 Dallas High Shoals Hwy, Dallas, NC 28034-1306 | 2006-09-07 |
| Find all providers in zip 28034 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821603390 | Allison A Roberts | Community/Behavioral Health | 8403 Midway Rd, Dallas, TX 75209-2835 | 2020-09-11 |
| 1033736582 | Jomarv Inc | Community/Behavioral Health | 326 E 12th St, Dallas, TX 75203-2606 | 2020-07-01 |
| 1578189940 | Your Discovery Place Inc | Community/Behavioral Health | 3155 S Lancaster Rd Ste 200, Dallas, TX 75216-4586 | 2020-06-22 |
| 1205459062 | Trinity Counseling and Wellness Services | Community/Behavioral Health | 1910 Pacific Ave Ste 14160, Dallas, TX 75201-4753 | 2020-05-27 |
| 1437799350 | Ayuda Health Partners, LLC | Community/Behavioral Health | 2600 Cole Ave Apt 408, Dallas, TX 75204-4023 | 2020-01-08 |
| 1780242214 | Precision Behavioral Health Services, LLC | Community/Behavioral Health | 14100 Montfort Dr, Ste 1236, Dallas, TX 75254-3021 | 2019-05-30 |
| 1508328287 | New Hope Counseling Agency | Community/Behavioral Health | 4311 Belmont Ave Ste 105, Dallas, TX 75204-3032 | 2019-04-02 |
| 1669938544 | Patricia Ann Smith | Community/Behavioral Health | 385 Victoria Heights Dr, Dallas, GA 30132-9276 | 2019-02-14 |
| 1639657976 | Job Sterling | Community/Behavioral Health | 1409 N Zang Blvd Apt 218, Dallas, TX 75203-1203 | 2018-07-30 |
| 1063900090 | Paul Kehinde Aremu | Community/Behavioral Health | 9830 Paramount Ave, Dallas, TX 75217-3762 | 2018-04-25 |
| Find all providers in DALLAS | ||||
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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.