Provider Demographics
NPI:1528188919
Name:ALTERNATIVE BEHAVIORAL SOLUTIONS,INC.
Entity Type:Organization
Organization Name:ALTERNATIVE BEHAVIORAL SOLUTIONS,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUWANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH-DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:MSN
Authorized Official - Phone:336-370-9400
Mailing Address - Street 1:905 MCCLELLAN PL
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-8930
Mailing Address - Country:US
Mailing Address - Phone:336-370-9400
Mailing Address - Fax:336-373-0134
Practice Address - Street 1:905 MCCLELLAN PL
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27409-8930
Practice Address - Country:US
Practice Address - Phone:336-370-9400
Practice Address - Fax:336-373-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT101YA0400X
NC101YM0800X, 101YP2500X, 1041C0700X
2084P0800X, 251B00000X, 251C00000X, 251S00000X, 385HR2060X
NCMHL041673320800000X, 322D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled ServicesGroup - Multi-Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental IllnessGroup - Multi-Specialty
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed ChildrenGroup - Multi-Specialty
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418127Medicaid
NC8301991BMedicaid
NC6603579Medicaid