ELITE PROFESSINAL SERVICES, LLC (NPI# 1962650507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962650507 |
| Entity Type | Organization |
| Organization Name | ELITE PROFESSINAL SERVICES, LLC |
| Practice Address |
119 E Water St Plymouth NC 27962-1300 |
| Practice Telephone | 2527939991 |
| Practice Fax Number | 2527939991 |
| Mailing Telephone | 2527939991 |
| Mailing Fax Number | 2527939991 |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-09-08 |
| Authorized Official Name | MS. DEVITA RENAE PHELPS (CEO) |
| Authorized Official Telephone | 2527939991 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
119 E WATER ST |
| City | PLYMOUTH |
| State | NC |
| Zip Code | 27962-1300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144555095 | Melissa Pledger | Pharmacist | 11 Us Hwy 64 E, Plymouth, NC 27962 | 2009-10-09 |
| 1356569651 | East Carolina Foot and Ankle Specialists | Podiatrist | 958 Hwy 64 East, Plymouth, NC 27962 | 2007-04-23 |
| 1659413581 | Changing Hearts Instead of Losing Lives, Inc | Community/Behavioral Health | 713 Forest Road, Plymouth, NC 27962 | 2007-02-14 |
| 1205934171 | Womble Drug Store | Pharmacy | 454 Hwy 64 East, Plymouth, NC 27962 | 2006-09-21 |
| 1184720054 | June Elizabeth Woolard | Social Worker | 206 Waters Street, Plymouth, NC 27962 | 2006-09-16 |
| 1285736470 | Bio-medical Applications of North Carolina, Inc. | Clinic/Center | 734 Us 64 East, Plymouth, NC 27962 | 2006-09-01 |
| 1376568550 | Viswanathan Swaminathan | Psychiatry & Neurology | 804.washington Street, Vidant Behaviour Health, Plymouthy, NC 27962 | 2006-07-12 |
| 1144253758 | Jean Louis Pare | Family Medicine | 1006 Us Hwy 64 East, Plymouth, NC 27962 | 2006-07-08 |
| 1619907227 | Chester Lee Conner | Dentist | 363 Highway 64 West, Plymouth, NC 27962 | 2006-07-03 |
| 1750336855 | Robert Lee Venable | General Practice | 1004 Hwy 64 East, Plymouth, NC 27962 | 2006-05-24 |
| Find all providers in zip 27962 | ||||
| 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 |
|---|---|---|---|---|
| 1720562697 | Cdagape LLC | Community/Behavioral Health | 1098 Ann Arbor Rd W, Plymouth, MI 48170-2129 | 2018-09-18 |
| 1831682210 | Nicole Cushman | Community/Behavioral Health | 68 S Meadow Rd # 68, Plymouth, MA 02360-4742 | 2018-06-11 |
| 1750891396 | Crossroads Treatment Center of Plymouth, PC | Community/Behavioral Health | 116 Long Pond Rd Ste 2-3, Plymouth, MA 02360-2663 | 2017-10-10 |
| 1982091898 | Second Nature Social Skills | Community/Behavioral Health | 15 Main Street Ext Ste 7, Plymouth, MA 02360-3383 | 2015-04-17 |
| 1205260387 | Curran Counseling | Community/Behavioral Health | 248 Water St, Apt 2, Plymouth, MA 02360-4033 | 2013-08-26 |
| 1730449398 | Future Empowerment | Community/Behavioral Health | 117 W Water St, Plymouth, NC 27962-1305 | 2012-05-16 |
| 1528336088 | S-t-e-p-s | Community/Behavioral Health | 2535 Us Highway 64 W, Plymouth, NC 27962-9349 | 2011-12-12 |
| 1831422005 | Pathfinders of Coastal Carolina, Inc. | Community/Behavioral Health | 301 Roanoke Ave, Plymouth, NC 27962-1521 | 2009-09-04 |
| 1063657724 | Community Alignments & Adjustments | Community/Behavioral Health | 609 Wilson St, Plymouth, NC 27962-2119 | 2008-12-10 |
| 1316107345 | Solid Ground Counseling, Pllc | Community/Behavioral Health | 9401 N Haggerty Rd, Plymouth, MI 48170-4696 | 2008-06-12 |
| Find all providers in PLYMOUTH | ||||
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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.