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SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER NPI 1881608883


NPI Information

NPI: 1881608883
Provider Name: SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
450 COUNTRY CLUB RD
LUMBERTON, NC
ZIP 28360
Phone: (910) 272-1230
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SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER is a community behavioral health in Lumberton, 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. SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER NPI is 1881608883. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

450 COUNTRY CLUB RD
LUMBERTON, NC
ZIP 28360-494
Phone: (910) 272-1230
Fax: (910) 272-1299

The provider's authorized official is Vickie Evans .
The authorized official title is Finance Officer and has the following contact phone number (910) 272-1230.

The enumeration date for this NPI number is 7/28/2006 and was last updated on 1/3/2008.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNORTH CAROLINANo
3103T00000XPsychologistNo
41041C0700XSocial WorkerClinicalNo
5251B00000XCase ManagementNo
6251S00000XCommunity/Behavioral HealthYes

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
13404926MEDICAIDNORTH CAROLINA
20169MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
33408189MEDICAIDNORTH CAROLINA
48300922MEDICAIDNORTH 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

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