Provider Demographics
NPI:1780861278
Name:ADEPT LLC
Entity Type:Organization
Organization Name:ADEPT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:BENARD
Authorized Official - Last Name:SURRATT
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:702-224-7593
Mailing Address - Street 1:10528 PICKEREL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28213-4827
Mailing Address - Country:US
Mailing Address - Phone:704-224-7593
Mailing Address - Fax:
Practice Address - Street 1:10528 PICKEREL LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4827
Practice Address - Country:US
Practice Address - Phone:704-224-7593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management