EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.
NPI 1104988047
Counselor - Mental Health in Mount Airy, NC

Q: What is Easter Seals Ucp North Carolina & Virginia, Inc.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since December 15, 2006

414 W LEBANON ST, MOUNT AIRY, NC 27030(336) 789-9492(336) 789-9587 Get Directions Write a Review

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2017, Dec 21, 2015 (2 updates tracked since 2015).

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About Easter Seals Ucp North Carolina & Virginia, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC. (NPI 1104988047) is a healthcare organization registered as a mental health in Mount Airy, North Carolina and active in the NPI registry since December 2006. The organization lists Nasheba Key-allred, Contract Specialist, as its authorized official.

NPPES Registry Identity

NPI1104988047

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameEASTER SEALS UCP NORTH CAROLINA & VIRGINIA, INC.

Location Address414 W LEBANON STMount Airy, NC 27030-2954

Mailing Address5171 Glenwood Ave, Suite 211Raleigh, NC 27612-3266 · (919) 783-8898 · Fax (919) 782-5486

Phone(336) 789-9492

Fax(336) 789-9587

Organization SubpartNo

Authorized OfficialNasheba Key-allredContract Specialist · (919) 783-8898

Enumeration DateDecember 15, 2006

Last NPPES UpdateApril 24, 20172 updates tracked since enumeration

✔ NPI 1104988047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

414 W LEBANON ST, Mount Airy, NC 27030

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Other Identifiers 2

Other018KJNC · Nc Bcbs

Medicaid6005805NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIE BRANDENBURG MCDOWELL PA

Physician Assistant