Provider Demographics
NPI: | 1144414947 |
---|---|
Name: | TEACHING ALTERNATIVE STRATEGIES AND KNOWLEDGE INCORPORATED |
Entity type: | Organization |
Organization Name: | TEACHING ALTERNATIVE STRATEGIES AND KNOWLEDGE INCORPORATED |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | CEO |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | TERIQUE |
Authorized Official - Middle Name: | ANTOINE |
Authorized Official - Last Name: | EPPS |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | BS CSAC-I QP |
Authorized Official - Phone: | 919-609-8686 |
Mailing Address - Street 1: | 3200 SPRING FOREST RD |
Mailing Address - Street 2: | SUITE 206 |
Mailing Address - City: | RALEIGH |
Mailing Address - State: | NC |
Mailing Address - Zip Code: | 27616-2811 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 919-758-8797 |
Mailing Address - Fax: | 919-720-4193 |
Practice Address - Street 1: | 3200 SPRING FOREST RD |
Practice Address - Street 2: | SUITE 206 |
Practice Address - City: | RALEIGH |
Practice Address - State: | NC |
Practice Address - Zip Code: | 27616-2811 |
Practice Address - Country: | US |
Practice Address - Phone: | 919-758-8797 |
Practice Address - Fax: | 919-720-4193 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-09-05 |
Last Update Date: | 2010-09-17 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 251S00000X | Agencies | Community/Behavioral Health | ||
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | Group - Multi-Specialty | |
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | Group - Multi-Specialty | |
No | 103TM1800X | Behavioral Health & Social Service Providers | Psychologist | Intellectual & Developmental Disabilities | Group - Multi-Specialty |
No | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | Group - Multi-Specialty | |
No | 101YA0400X | Behavioral Health & Social Service Providers | Counselor | Addiction (Substance Use Disorder) | Group - Multi-Specialty |
No | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Multi-Specialty |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |
No | 103TC1900X | Behavioral Health & Social Service Providers | Psychologist | Counseling | Group - Multi-Specialty |
No | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | Group - Multi-Specialty | |
No | 103T00000X | Behavioral Health & Social Service Providers | Psychologist | Group - Multi-Specialty | |
No | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | Group - Multi-Specialty | |
No | 251B00000X | Agencies | Case Management |