Provider Demographics
NPI:1487274619
Name:N'ERGY, LLC
Entity type:Organization
Organization Name:N'ERGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NIKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-299-2631
Mailing Address - Street 1:5100 CABRETTA DR
Mailing Address - Street 2:
Mailing Address - City:MOSELEY
Mailing Address - State:VA
Mailing Address - Zip Code:23120-1560
Mailing Address - Country:US
Mailing Address - Phone:240-299-2631
Mailing Address - Fax:804-818-5461
Practice Address - Street 1:5100 CABRETTA DR
Practice Address - Street 2:
Practice Address - City:MOSELEY
Practice Address - State:VA
Practice Address - Zip Code:23120-1560
Practice Address - Country:US
Practice Address - Phone:240-299-2631
Practice Address - Fax:804-818-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)