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Contact Information

ASSURED COMMUNITY SERVICES, LLC
8025 N POINT BLVD STE 221
WINSTON-SALEM, NC27106-3100
 Phone: 336-283-2699
 Fax: 704-818-4315
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Addiction Medicine

207RA0401X 11 Physician/Internal Medicine
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Mental Health (Including Community Mental Health Center)

261QM0801X B4[14] Community Mental Health Center
 

Other Service Providers

175T00000X
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Professional

101YP2500X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for ASSURED COMMUNITY SERVICES, LLC

NPI # 1053925727
LBN Legal business name ASSURED COMMUNITY SERVICES, LLC
Authorized official LAQUANA RICHMOND - (COO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2020
Last updated 11/09/2021 - About 5 years ago
Identifiers
NC Medicaid 1053925727
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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