EAST COVE PSYCHIATRIC SERVICES NPI 1558545806

NPI Information

  • NPI: 1558545806
  • Provider Name: EAST COVE PSYCHIATRIC SERVICES
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 2901 N HERRITAGE ST STE C
    KINSTON, NC
    ZIP 28501
  • Phone: (252) 523-2781

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NPI Details

EAST COVE PSYCHIATRIC SERVICES is an adolescent and children mental health clinic center in Kinston, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. EAST COVE PSYCHIATRIC SERVICES NPI is 1558545806. The provider is registered as an organization entity type.

The provider's business location address is:

2901 N HERRITAGE ST STE C
KINSTON, NC
ZIP 28501-581
Phone: (252) 523-2781
Fax: (252) 523-2779

The provider's authorized official is Joanna Wolicki-shannon .
The authorized official title is Child/adult Psychiatrist and has the following contact phone number (252) 523-2781.

The enumeration date for this NPI number is 12/21/2007 and was last updated on 12/21/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNORTH CAROLINAYes

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
189137CEMEDICAIDNORTH 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: 3/30/2025

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