Provider Demographics
NPI:1013634724
Name:ASSURED HEALTH SERVICES LLC
Entity type:Organization
Organization Name:ASSURED HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-491-0871
Mailing Address - Street 1:6047 TYVOLA GLEN CIR STE 136
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-6436
Mailing Address - Country:US
Mailing Address - Phone:919-491-0871
Mailing Address - Fax:
Practice Address - Street 1:6047 TYVOLA GLEN CIR STE 136
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-6436
Practice Address - Country:US
Practice Address - Phone:919-491-0871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No251S00000XAgenciesCommunity/Behavioral Health