Organization · NPI-2

Assured Community Services, LLC

Community/Behavioral Health · Winston Salem, NC

NPI number1053925727

StatusActive

Last updated in NPPESNov 9, 2021

Details

NPI: 1053925727
Entity type: Organization (NPI-2)
Legal business name: Assured Community Services, LLC
Organization subpart: No
Enumeration date: Sep 1, 2020
Certification date: Nov 9, 2021
Last updated: Nov 9, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
251S00000X	Community/Behavioral Health	–	–	Yes
101Y00000X	Counselor	–	–
101YA0400X	Counselor, Addiction (Substance Use Disorder)	–	–
101YM0800X	Counselor, Mental Health	–	–
101YP2500X	Counselor, Professional	–	–
103TP2701X	Psychologist, Group Psychotherapy	–	–
1041C0700X	Social Worker, Clinical	–	–
106H00000X	Marriage & Family Therapist	–	–
175T00000X	Peer Specialist	–	–
207RA0401X	Internal Medicine, Addiction Medicine	–	–
2084P0800X	Psychiatry & Neurology, Psychiatry	–	–
261QM0801X	Clinic/Center, Mental Health (Including Community Mental Health Center)	–	–
363A00000X	Physician Assistant	–	–
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–

Practice location

8025 N Point Blvd Ste 221
Winston Salem, NC 27106-3100

Phone 336-283-2699 · Fax 704-818-4315

Mailing address

24 Nw Court Sq Ste 206
Graham, NC 27253-2861

Phone 336-283-2699 · Fax 704-818-4315

Other practice locations

24 Nw Court Sq Ste 206
Graham, NC 27253-2861

Phone 336-283-2699

248f E Broad St
Statesville, NC 28677-5325

Phone 704-978-8844

6047 Tyvola Circle
Room 111
Charlotte, NC 28217-2821

Phone 704-251-9755

Authorized official

Laquana Richmond
Coo
3362832699

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