| Burliness Alliance Llc | |
| 1857 J P Rd Whitakers NC 27891-9189 | |
| (252) 969-0752 | |
| (252) 303-5484 | 
| Full Name | Burliness Alliance Llc | 
|---|---|
| Speciality | Community/behavioral Health | 
| Location | 1857 J P Rd, Whitakers, North Carolina | 
| Authorized Official Name and Position | Teranda Michelle Knight (VICE PRESIDENT/COUNSELOR) | 
| Authorized Official Contact | 2529690752 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Burliness Alliance Llc 1857 J P Rd Whitakers NC 27891-9189 Ph: (252) 969-0752 | Burliness Alliance Llc 1857 J P Rd Whitakers NC 27891-9189 Ph: (252) 969-0752 | 
| NPI Number | 1265105274 | 
|---|---|
| Provider Enumeration Date | 07/26/2021 | 
| Last Update Date | 07/26/2021 | 
| Certification Date | 07/26/2021 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1265105274 | NPI | - | NPPES | 
| 1083255137 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |