1144640731 NPI number — VELEKA Y. BARBEE THERAPY SERVICES, INC.

Table of content: MISS AMBER BRYANNE CASTILLO (NPI 1841958329)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1144640731 NPI number — VELEKA Y. BARBEE THERAPY SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VELEKA Y. BARBEE THERAPY SERVICES, 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:
6
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:
1144640731
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 446
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALBEMARLE
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28002-0446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
704-724-1925
Provider Business Mailing Address Fax Number:
704-985-1341

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
124 E NORTH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALBEMARLE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28001-4048
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
704-985-1088
Provider Business Practice Location Address Fax Number:
704-985-1341
Provider Enumeration Date:
04/22/2014

Additional Information

Authorized Official

Authorized Official Last Name:
BARBEE
Authorized Official First Name:
VELEKA
Authorized Official Middle Name:
YOUNG
Authorized Official Title or Position:
PRESIDENT/OWNER
Authorized Official Telephone Number:
704-724-1925

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  C004812 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6106889 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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