Provider Demographics
NPI:1700572781
Name:ENDLESS OPPORTUNITIES
Entity Type:Organization
Organization Name:ENDLESS OPPORTUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:704-912-1292
Mailing Address - Street 1:1030 CENTRAL DR NW STE A
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28027-2249
Mailing Address - Country:US
Mailing Address - Phone:704-626-2628
Mailing Address - Fax:
Practice Address - Street 1:1030 CENTRAL DR NW STE A
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28027-2249
Practice Address - Country:US
Practice Address - Phone:704-626-2628
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health