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COMMUNITY SUPPORT PROFESSIONALSLLC NPI 1659692481


NPI Information

NPI: 1659692481
Provider Name: COMMUNITY SUPPORT PROFESSIONALS,LLC

Other Name: CSP CABHA PROVIDER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
1606 WELLINGTON AVE UNIT C
WILMINGTON, NC
ZIP 28401
Phone: (910) 799-4505
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COMMUNITY SUPPORT PROFESSIONALS,LLC is a community behavioral health in Wilmington, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. COMMUNITY SUPPORT PROFESSIONALS,LLC NPI is 1659692481. The provider is registered as an organization entity type.
The provider Other Name Is Csp Cabha Provider.

The provider's business location address is:

1606 WELLINGTON AVE UNIT C
WILMINGTON, NC
ZIP 28401-704
Phone: (910) 799-4505
Fax: (910) 799-4345

The provider's authorized official is Charles Creech .
The authorized official title is C.e.o and has the following contact phone number (910) 799-4505.

The enumeration date for this NPI number is 6/16/2010 and was last updated on 6/16/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1253Z00000XIn Home Supportive Care8300728NORTH CAROLINANo
2251S00000XCommunity/Behavioral Health8300728NORTH 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18300728MEDICAIDNORTH 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

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