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PORT HEALTH SERVICES NPI 1497075618


NPI Information

NPI: 1497075618
Provider Name: PORT HEALTH SERVICES

Former Legal Business Name: PORT HUMAN SERVICES

Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
4300 SAPPHIRE CT STE 110
GREENVILLE, NC
ZIP 27834
Phone: (252) 830-7540
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PORT HEALTH SERVICES is a counselor in Greenville, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. PORT HEALTH SERVICES NPI is 1497075618. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Port Human Services.

The provider's business location address is:

4300 SAPPHIRE CT STE 110
GREENVILLE, NC
ZIP 27834-079
Phone: (252) 830-7540
Fax: (252) 413-0932

The provider's authorized official is Brett Beavers .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 210-7661.

The enumeration date for this NPI number is 6/10/2010 and was last updated on 5/24/2023.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2251S00000XCommunity/Behavioral HealthNo
3261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)No
4324500000XSubstance Abuse Rehabilitation FacilityNo
5101Y00000XCounselorYes

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

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