Basic Information
Provider Information
NPI: 1659642361
EntityType: 2
ReplacementNPI:  
OrganizationName: STRATEGIC INTERVENTIONS, LLC
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Mailing Information
Address1: 3100 HWY 226 S
Address2:  
City: MARION
State: NC
PostalCode: 287528741
CountryCode: US
TelephoneNumber: 8286553113
FaxNumber:  
Practice Location
Address1: 304 W UNION ST
Address2: SUITE C
City: MORGANTON
State: NC
PostalCode: 28655
CountryCode: US
TelephoneNumber: 8286593418
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/26/2012
LastUpdateDate: 02/17/2020
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: ESTES
AuthorizedOfficialFirstName: ASHLEY
AuthorizedOfficialMiddleName: LORREN
AuthorizedOfficialTitleorPosition: QUALITY MANAGEMENT TECHNICIAN
AuthorizedOfficialTelephone: 8286553113
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 02/17/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
251S00000X  Y AgenciesCommunity/Behavioral Health 

No ID Information.


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