1033439799 NPI number — BURKE BEHAVIORAL ALLIANCE INC.

Table of content: JUNE LOWE ROBERTS MD (NPI 1205946498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033439799 NPI number — BURKE BEHAVIORAL ALLIANCE INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BURKE BEHAVIORAL ALLIANCE INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033439799
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1054
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WILKESBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28697-1054
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
828-443-1953
Provider Business Mailing Address Fax Number:
828-437-6875

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
114 S STERLING ST STE 6
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORGANTON
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28655-3474
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
828-443-1953
Provider Business Practice Location Address Fax Number:
828-437-6875
Provider Enumeration Date:
06/04/2010

Additional Information

Authorized Official

Authorized Official Last Name:
CUPID
Authorized Official First Name:
CARL
Authorized Official Middle Name:
L
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
315-450-3878

Provider Taxonomy Codes

  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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