Organization
ALPHA COMMUNITY SUPPORT SERVICE LLC
Active
Parent organization
ALPHA COMMUNITY SUPPORT SERVICE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALPHA COMMUNITY SUPPORT SERVICE LLC
Authorized official
MS. MICHELLE YVETTE ELLERBE MA, QP (OWNER)
(910) 410-0459
Entity
Organization
Contact information
Practice address
114 S HANCOCK ST, ROCKINGHAM, NC 28379-3630
(910) 410-0459
(910) 410-0653
Mailing address
114 S HANCOCK ST, ROCKINGHAM, NC 28379-3630
(910) 410-0459
(910) 410-0653
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
33577
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006930
—
NC
05
—
8302367
—
NC
Enumeration date
04/06/2010
Last updated
04/06/2010
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