1417045188 CONCORDIA SUPPORT SERVICES, LLC
Community/Behavioral Health Agency
Active
Basic Information
- Organization Name
- CONCORDIA SUPPORT SERVICES, LLC
- Enumeration Date
- October 10, 2006
- Last Update
- June 25, 2009
- Authorized Official
- MEREDITH NICKELBERRY
VICE PRESIDENT
Phone: (910) 826-8253
Practice Location
- Address
- 2315 BLOOM AVENUE
SUITE 2
FAYETTEVILLE, NC 283046165 - Phone
- (910) 826-8253
- Fax
- (910) 826-8254
Mailing Address
- Address
- PO BOX 26108
FAYETTEVILLE, NC 283145018 - Phone
- (910) 826-8253
- Fax
- (910) 826-8254
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Day Training, Developmentally Disabled Services | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-067-156 | NC | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-067154 | NC | No |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-047-070 | NC | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Community/Behavioral Health Agency | 251S00000X | Community/Behavioral Health | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300606 | 05 | NC | N/A |
| 8301129G | 05 | NC | N/A |
| 6603837 | 05 | NC | N/A |
| 8300606B | 05 | NC | N/A |
| 8300606G | 05 | NC | N/A |
| 6006251 | 05 | NC | N/A |
| 6603570 | 05 | NC | N/A |
| 8300604 | 05 | NC | N/A |
| 8300605B | 05 | NC | N/A |
| 8301129H | 05 | NC | N/A |
| 6603687 | 05 | NC | N/A |
| 8300605 | 05 | NC | N/A |
| 5950244 | 05 | NC | N/A |
| 8301864B | 05 | NC | N/A |
| 83001129B | 05 | NC | N/A |
| 8300604B | 05 | NC | N/A |
| 8301129 | 05 | NC | N/A |
| 8301864 | 05 | NC | N/A |
Frequently Asked Questions
What is CONCORDIA SUPPORT SERVICES, LLC's NPI number?
CONCORDIA SUPPORT SERVICES, LLC's NPI number is 1417045188.
Which doctor has NPI number 1417045188?
The doctor with NPI number 1417045188 is CONCORDIA SUPPORT SERVICES, LLC.
What is CONCORDIA SUPPORT SERVICES, LLC's practice address?
CONCORDIA SUPPORT SERVICES, LLC's practice address is 2315 BLOOM AVENUE, SUITE 2, FAYETTEVILLE, NC, 283046165.
Which doctor practices at 2315 BLOOM AVENUE, SUITE 2, FAYETTEVILLE, NC, 283046165?
CONCORDIA SUPPORT SERVICES, LLC practices at 2315 BLOOM AVENUE, SUITE 2, FAYETTEVILLE, NC, 283046165.
What is CONCORDIA SUPPORT SERVICES, LLC's mailing address?
CONCORDIA SUPPORT SERVICES, LLC's mailing address is PO BOX 26108, FAYETTEVILLE, NC, 283145018.
What is CONCORDIA SUPPORT SERVICES, LLC's phone number?
CONCORDIA SUPPORT SERVICES, LLC's phone number is (910) 826-8253.
Who is (910) 826-8253?
(910) 826-8253 is the phone number for CONCORDIA SUPPORT SERVICES, LLC.
What is CONCORDIA SUPPORT SERVICES, LLC's specialty?
CONCORDIA SUPPORT SERVICES, LLC's specialty is Community/Behavioral Health Agency.
What type of doctor is CONCORDIA SUPPORT SERVICES, LLC?
CONCORDIA SUPPORT SERVICES, LLC is a Community/Behavioral Health Agency.
Is CONCORDIA SUPPORT SERVICES, LLC a Community/Behavioral Health?
Yes, CONCORDIA SUPPORT SERVICES, LLC is a Community/Behavioral Health.
Is CONCORDIA SUPPORT SERVICES, LLC still practicing?
Yes, CONCORDIA SUPPORT SERVICES, LLC is currently practicing.
Is CONCORDIA SUPPORT SERVICES, LLC accepting new patients?
CONCORDIA SUPPORT SERVICES, LLC may be accepting new patients. Please call their office at (910) 826-8253 to inquire about availability.
Is NPI 1417045188 still active?
Yes, NPI 1417045188 is currently active.
Where does CONCORDIA SUPPORT SERVICES, LLC practice?
CONCORDIA SUPPORT SERVICES, LLC practices in FAYETTEVILLE, NC.