# J & J SUPPORT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255216586
- **Authorized official:** JACK ELLERBE MSW, LCASA, LCSWA (OWNER)
- **Authorized official phone:** (929) 259-9750

## Contact information

- **Practice address:** 1609 BAYMONT CT, STANLEY, NC 28164-2332
- **Practice address phone:** (919) 259-9750
- **Mailing address:** 1609 BAYMONT CT, STANLEY, NC 28164-2332
- **Mailing address phone:** (919) 259-9750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |

## Other

- **Enumeration date:** 08/06/2025
- **Last updated:** 08/13/2025