SOUTHCARE COMMUNITY SERVICE INC NPI 1215179221

NPI Information

NPI: 1215179221
Provider Name: SOUTHCARE COMMUNITY SERVICE, INC

Doing Business As: SOUTHCARE OF NC

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
1506 MARKET ST
WILMINGTON, NC
ZIP 28401
Phone: (910) 254-4065
Get Directions

SOUTHCARE COMMUNITY SERVICE, INC is a mental health (including community mental health center) clinic center in Wilmington, NC. SOUTHCARE COMMUNITY SERVICE, INC NPI is 1215179221. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southcare Of Nc.

The provider's business location address is:

1506 MARKET ST
WILMINGTON, NC
ZIP 28401-871
Phone: (910) 254-4065
Fax: (910) 254-4067

The provider's authorized official is Laney B Harrill .
The authorized official title is President/ceo and has the following contact phone number (910) 368-1928.

The enumeration date for this NPI number is 4/6/2009 and was last updated on 7/22/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	No
4	1041C0700X	Social Worker	Clinical	No
5	2084P0800X	Psychiatry & Neurology	Psychiatry	No
6	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	No
7	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	No
8	2084V0102X	Psychiatry & Neurology	Vascular Neurology	No
9	2084P0805X	Psychiatry & Neurology	Geriatric Psychiatry	No
10	2084P0015X	Psychiatry & Neurology	Psychosomatic Medicine	No
11	2084S0012X	Psychiatry & Neurology	Sleep Medicine	No
12	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »