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SOUTHERN CROSS NPI 1386825180


NPI Information

NPI: 1386825180
Provider Name: SOUTHERN CROSS
Classification: Social Worker - 104100000X
Entity Type: Organization
Address:
4705 SOUTHPORT ROAD SE
SUITE 108
SOUTHPORT, NC
ZIP 28461
Phone: (910) 457-6086
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SOUTHERN CROSS is a social worker in Southport, NC. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. SOUTHERN CROSS NPI is 1386825180. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4705 SOUTHPORT ROAD SE
SUITE 108
SOUTHPORT, NC
ZIP 28461-074
Phone: (910) 457-6086
Fax: (910) 487-6089

The provider's authorized official is William Dale Hudson .
The authorized official title is Owner and has the following contact phone number (910) 653-2007.

The enumeration date for this NPI number is 11/20/2007 and was last updated on 11/20/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselorNo
2101YM0800XCounselorMental HealthNo
3101YP1600XCounselorPastoralNo
4101YP2500XCounselorProfessionalNo
5103TB0200XPsychologistCognitive & BehavioralNo
6103TC0700XPsychologistClinicalNo
7103TC1900XPsychologistCounselingNo
8103TC2200XPsychologistClinical Child & AdolescentNo
9103TF0000XPsychologistFamilyNo
10103TH0100XPsychologistHealth ServiceNo
11103TM1800XPsychologistIntellectual and Developmental DisabilitiesNo
12103TP2701XPsychologistGroup PsychotherapyNo
131041C0700XSocial WorkerClinicalNo
14106H00000XMarriage & Family TherapistNo
15104100000XSocial WorkerYes

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

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.