CHILDREN'S HEALTH OF CAROLINA DBA PEMBROKE PEDIATRICS MENTAL HEALTH NPI 1679768303

NPI Information

NPI: 1679768303
Provider Name: CHILDREN'S HEALTH OF CAROLINA DBA PEMBROKE PEDIATRICS MENTAL HEALTH
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
400 LIBERTY HILL RD
LUMBERTON, NC
ZIP 28358
Phone: (910) 738-8060
Get Directions

CHILDREN'S HEALTH OF CAROLINA DBA PEMBROKE PEDIATRICS MENTAL HEALTH is a mental health counselor in Lumberton, NC. CHILDREN'S HEALTH OF CAROLINA DBA PEMBROKE PEDIATRICS MENTAL HEALTH NPI is 1679768303. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 LIBERTY HILL RD
LUMBERTON, NC
ZIP 28358-446
Phone: (910) 738-8060
Fax: (910) 671-3600

The provider's authorized official is Rose Duckworth .
The authorized official title is Compliance Officer and has the following contact phone number (910) 738-8060.

The enumeration date for this NPI number is 9/6/2007 and was last updated on 9/6/2007.

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
1	101YM0800X	Counselor	Mental Health			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	890253U	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: 5/5/2024

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 »