PROGRESSIVE CARE SERVICES INC NPI 1760620520

NPI Information

  • NPI: 1760620520
  • Provider Name: PROGRESSIVE CARE SERVICES INC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • CLIA Number: 34D2129112
  • Address: 3216 ZEBULON RD
    ROCKY MOUNT, NC
    ZIP 27804
  • Phone: (252) 452-3302

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NPI Details

PROGRESSIVE CARE SERVICES INC is an adolescent and children mental health clinic center in Rocky Mount, 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. PROGRESSIVE CARE SERVICES INC NPI is 1760620520. The provider is registered as an organization entity type.

The provider's business location address is:

3216 ZEBULON RD
ROCKY MOUNT, NC
ZIP 27804-435
Phone: (252) 452-3302

The provider's authorized official is Victor Randolph Moore .
The authorized official title is Executive Director and has the following contact phone number (252) 452-3302.

The CLIA number assigned to this NPI record is 34D2129112 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/31/2009 and was last updated on 1/31/2009.

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
1261QM0855XClinic/CenterAdolescent and Children Mental HealthNORTH CAROLINAYes

What is NPI?

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This page was last updated on: 11/21/2025

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