All Stars Today (Ast) LLC
Community/Behavioral Health in Matthews, NC. Organization (NPI-2).
NPI number1770867004
StatusActive
Last updated in NPPESOct 5, 2011
Details
- NPI
- 1770867004
- Entity type
- Organization (NPI-2)
- Legal business name
- All Stars Today (Ast) LLC
- Organization subpart
- No
- Enumeration date
- Oct 5, 2011
- Last updated
- Oct 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 101YP1600X | Counselor, Pastoral | – | – | |
| 101YS0200X | Counselor, School | – | – | |
| 102X00000X | Poetry Therapist | – | – | |
| 103T00000X | Psychologist | – | – | |
| 103TB0200X | Psychologist, Cognitive & Behavioral | – | – | |
| 103TE1100X | Psychologist, Exercise & Sports | – | – | |
| 1041S0200X | Social Worker, School | – | – | |
| 174H00000X | Health Educator | – | – | |
| 251K00000X | Public Health or Welfare | – | – | |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 253Z00000X | In Home Supportive Care | – | – | |
| 310500000X | Intermediate Care Facility, Mental Illness | – | – |
Practice location
1958 Wilrose PlMatthews, NC 28105-0366
Phone 267-639-7748
Mailing address
1958 Wilrose PlMatthews, NC 28105-0366
Phone 267-639-7748
Authorized official
Miriam Alice Townsend
Director
2676397748
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