Provider Demographics
NPI:1902525512
Name:ENDLESS POSSIBILITIES ACADEMY, LLC
Entity type:Organization
Organization Name:ENDLESS POSSIBILITIES ACADEMY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:WARREN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-345-5019
Mailing Address - Street 1:1112 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27217-2732
Mailing Address - Country:US
Mailing Address - Phone:336-345-5019
Mailing Address - Fax:
Practice Address - Street 1:1112 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27217-2732
Practice Address - Country:US
Practice Address - Phone:336-345-5019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health