CAROLINA PROFESSIONAL MENTAL HEALTH NPI 1396984480

NPI Information

NPI: 1396984480
Provider Name: CAROLINA PROFESSIONAL MENTAL HEALTH
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
109 N COURT SQ
LUMBERTON, NC
ZIP 28358
Phone: (910) 272-9356
Get Directions

CAROLINA PROFESSIONAL MENTAL HEALTH is a mental health (including community mental health center) clinic center in Lumberton, NC. CAROLINA PROFESSIONAL MENTAL HEALTH NPI is 1396984480. The provider is registered as an organization entity type.

The provider's business location address is:

109 N COURT SQ
LUMBERTON, NC
ZIP 28358-554
Phone: (910) 272-9356
Fax: (910) 735-1945

The provider's authorized official is Frederick Hodge Stephens .
The authorized official title is Coowner and has the following contact phone number (910) 272-9356.

The enumeration date for this NPI number is 2/12/2009 and was last updated on 2/12/2009.

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	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	261QM0801X	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	SR001844	MEDICAID	NORTH CAROLINA

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 »