SOUTHEASTERN BEHAVIORAL HEALTHCARE SERVICES (NPI# 1215162771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215162771 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN BEHAVIORAL HEALTHCARE SERVICES |
| Practice Address |
3435 Lackey St Lumberton NC 28360-9046 |
| Mailing Address |
Po Box 1004 Lumberton NC 28359-1004 |
| Practice Telephone | 9107381587 |
| Practice Fax Number | 9107381581 |
| Mailing Telephone | 9107381587 |
| Mailing Fax Number | 9107381581 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | MR. VIRGIL L HUTCHINSON (CEO) |
| Authorized Official Telephone | 9107381587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | MHL078167 | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8302200 | 05 | |
| NC | 8302200K | 05 | |
| NC | 8302200G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932304714 | Southeastern Behavioral Healthcare Services | Social Worker | 3581 Lackey St, Lumberton, NC 28360-9048 | 2007-06-20 |
| Street Address |
3435 LACKEY ST |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-9046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598387003 | Heather Lynn Cook | Specialist/Technologist | 4901 Dawn Drive Ste. 2300, Lumberton, NC 28360 | 2020-05-07 |
| 1093363780 | Michael Paul Hammonds | Technician | 112 Ethel Dr, Lumberton, NC 28360 | 2019-08-27 |
| 1679120646 | Helen G. Eller | Technician | 2066 Us Hwy 74 West, Lumberton, NC 28360 | 2019-08-23 |
| 1659846541 | Cassaundra Paige Locklear | Counselor | 1560 Oak Grove Church Road, Lumberton, NC 28360 | 2018-10-08 |
| 1689114191 | Neketa Floyd | Counselor | 3531 Lacky Street, Lumberton, NC 28360 | 2017-03-02 |
| 1912458753 | Rosa Keng Jou-zhang | Physician Assistant | 4901 Dawn Drive Suite 3400, Southeastern Neurological Center, Lumberton, NC 28360 | 2016-10-17 |
| 1891179453 | Chaqulla Woods | Social Worker | 107 Angel Dr, Lumberton, NC 28360 | 2015-07-14 |
| 1780089490 | Craig Slotke | Dentist | 600 Country Club Road, Robeson County Community Service Learning Center, Lumberton, NC 28360 | 2014-10-24 |
| 1538563473 | East Carolina University School of Dental Medicine-lumberton | Dentist | 600 Country Club Dr., Lumberton, NC 28360 | 2014-10-21 |
| 1033436266 | Primary Health Choice, Inc. | Community/Behavioral Health | 107e Mount Moriah Church Road, Lumberton, NC 28360 | 2010-04-28 |
| Find all providers in zip 28360 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, 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. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467088138 | David Cook | Community/Behavioral Health | 6510 Westwood Cir, Lumberton, TX 77657-7527 | 2020-03-13 |
| 1306209812 | Skydesope Quality Life Counseling, Inc | Community/Behavioral Health | 774 Eayrestown Rd Ste 204, Lumberton, NJ 08048-3100 | 2016-04-01 |
| 1659755668 | Legacy Treatment Services | Community/Behavioral Health | 119 Creek Rd, Lumberton, NJ 08048-5229 | 2015-07-20 |
| 1982003927 | Therapeutic Alternatives | Community/Behavioral Health | 1 Hopewell Ave, Lumberton, NJ 08048-9576 | 2014-08-15 |
| 1558771485 | Embracing Life Behavioral Services | Community/Behavioral Health | 1021b W 5th St, Lumberton, NC 28358-5417 | 2014-04-30 |
| 1952726846 | God Squad, Inc. | Community/Behavioral Health | 229 Madison Ave, Lumberton, NJ 08048-2901 | 2014-02-28 |
| 1447698790 | Monarch | Community/Behavioral Health | 430 Caton Rd, Lumberton, NC 28360-0450 | 2013-06-10 |
| 1003163221 | Tri-county Behavioral Care | Community/Behavioral Health | 608 E 7th St, Lumberton, NC 28358-4924 | 2012-08-07 |
| 1639462112 | Pathways Employment Services | Community/Behavioral Health | 501 Newgate St, Lumberton, NC 28358-2640 | 2011-05-17 |
| 1477845873 | Community Innovations Inc | Community/Behavioral Health | 328 E 24th St, Lumberton, NC 28358-3102 | 2011-05-04 |
| Find all providers in LUMBERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.