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CABIN VILLAGE AND ASSOCIATES, LLC
NPI 1194462747
Counselor - Addiction (Substance Use Disorder) in Mount Airy, NC

Active since May 16, 2022
1151 W LEBANON ST STE 200, MOUNT AIRY, NC 27030(276) 728-6703 Get Directions Write a Review

NPPES record last updated: June 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 11, 2022, May 16, 2022 (2 updates tracked since 2022).

About Cabin Village And Associates, Llc NPPES

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

CABIN VILLAGE AND ASSOCIATES, LLC (NPI 1194462747) is a healthcare organization registered as an addiction (substance use disorder) in Mount Airy, North Carolina and active in the NPI registry since May 2022. The organization lists Clinton Edwards, Owner, as its authorized official.

NPPES Registry Identity

NPI1194462747
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCABIN VILLAGE AND ASSOCIATES, LLC
Location Address1151 W LEBANON ST STE 200Mount Airy, NC 27030-2225
Mailing Address1015 Rockford St Ste 200Mount Airy, NC 27030-5026 · (276) 728-6703
Phone(276) 728-6703
Organization SubpartNo
Authorized OfficialClinton EdwardsOwner · (276) 728-6703
Enumeration DateMay 16, 2022
Last NPPES UpdateJune 11, 20222 updates tracked since enumeration
NPPES CertifiedJune 11, 2022
✔ NPI 1194462747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1151 W LEBANON ST STE 200, Mount Airy, NC 27030
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. CLINTON JAMIE EDWARDS MA, M.ED, LCAS, CSI
Counselor (Addiction (Substance Use Disorder))
1151 W LEBANON ST STE 200
MOUNT AIRY, NC 27030
Surry County (276) 728-6703

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cabin Village And Associates, LLC's NPI number?

The NPI number for Cabin Village And Associates, LLC is 1194462747. It was assigned to this organization in the NPPES registry on May 16, 2022.

Where is Cabin Village And Associates, LLC located?

Cabin Village And Associates, LLC is located at 1151 W Lebanon St Ste 200, Mount Airy, NC 27030. The listed phone number is (276) 728-6703.

What is Cabin Village And Associates, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Cabin Village And Associates, LLC was last updated on June 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.