EASTER SEALS UCP NC & VA, INC
NPI 1194887695
Counselor - Mental Health in Mount Airy, NC

Q: What is Easter Seals Ucp Nc & VA, Inc's NPI number?

The NPI number for Easter Seals Ucp Nc & VA, Inc is 1194887695. It was assigned to this organization in the NPPES registry on December 14, 2006.

Q: What is Easter Seals Ucp Nc & VA, Inc's specialty?

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

Active since December 14, 2006

414 W LEBANON ST, MOUNT AIRY, NC 27030(336) 786-7079(336) 786-6312 Get Directions Write a Review

NPPES record last updated: August 12, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Easter Seals Ucp Nc & Va, Inc NPPES

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

EASTER SEALS UCP NC & VA, INC (NPI 1194887695) 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, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1194887695

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameEASTER SEALS UCP NC & VA, INC

Location Address414 W LEBANON STMount Airy, NC 27030-2954

Mailing Address5171 Glenwood Ave, Suite 400Raleigh, NC 27612-3266 · (919) 783-8898 · Fax (919) 782-5486

Phone(336) 786-7079

Fax(336) 786-6312

Organization SubpartNo

Authorized OfficialNasheba Key-allredCredentialing Specialist · (919) 865-8632

Enumeration DateDecember 14, 2006

Last NPPES UpdateAugust 12, 2019

✔ NPI 1194887695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NC · 9901371

414 W LEBANON ST, Mount Airy, NC 27030

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Other Names 1

Doing Business AsEaster Seals Ucp Nc & Va, Inc

Other Identifiers 2

Other018KJNC · Nc Bcbs Group Provider Nu

Medicaid5903514NC

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.

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