Organization
J & J SUPPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK ELLERBE MSW, LCASA, LCSWA (OWNER)
(929) 259-9750
Entity
Organization
Contact information
Practice address
1609 BAYMONT CT, STANLEY, NC 28164-2332
(919) 259-9750
Mailing address
1609 BAYMONT CT, STANLEY, NC 28164-2332
(919) 259-9750
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/06/2025
Last updated
08/13/2025
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