MEDICARE: ALTERNATIVE BEHAVIORAL SOLUTIONS,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor		NC
2	251B00000X	Case Management Agency
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	322D00000X	Emotionally Disturbed Childrens' Residential Treatment Facility	MHL041673	NC
5	101YM0800X	Mental Health Counselor		NC
6	2084P0800X	Psychiatry Physician
7	1041C0700X	Clinical Social Worker		NC
8	101YA0400X	Addiction (Substance Use Disorder) Counselor		MT
9	320800000X	Mental Illness Community Based Residential Treatment Facility	MHL041673	NC
10	385HR2060X	Child Intellectual and/or Developmental Disabilities Respite Care
11	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528188919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE BEHAVIORAL SOLUTIONS,INC.

Provider Business Mailing Address
First Line	:	905 MCCLELLAN PL
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27409-8930
Country	:	US
Telephone Number	:	336-370-9400
Fax Number	:	336-373-0134

Provider Business Practice Location Address
First Line	:	2505 FAIRVIEW ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-4919
Country	:	US
Telephone Number	:	336-370-9400
Fax Number	:	336-373-0134

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LUWANDA SMITH-DANIELS
Credential	:	MSN
Telephone Number	:	336-370-9400

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	02/04/2026

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