SOUL SHINE CHILDREN'S TREATMENT SERVICES, INC. (NPI# 1982818399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982818399 |
| Entity Type | Organization |
| Organization Name | SOUL SHINE CHILDREN'S TREATMENT SERVICES, INC. |
| Practice Address |
218 E 2nd Ave Red Springs NC 28377-1308 |
| Mailing Address |
Po Box 1546 Pembroke NC 28372-1546 |
| Practice Telephone | 9105366094 |
| Practice Fax Number | 9108439728 |
| Mailing Telephone | 9105366094 |
| Mailing Fax Number | 9108439728 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2015-07-09 |
| Authorized Official Name | MRS. LESHIA ROGERS DEESE (OWNER) |
| Authorized Official Telephone | 9105366094 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-21969 | NC | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
C005175 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6106174 | 05 |
| Street Address |
218 E 2ND AVE |
| City | RED SPRINGS |
| State | NC |
| Zip Code | 28377-1308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902432289 | Caring Hand Transportation Company LLC | Non-emergency Medical Transport (VAN) | 551 North Mcphatter Road, Red Springs, NC 28377 | 2020-03-18 |
| 1629614946 | Sally J. Jacobs | Technician | 401 Ashford Rd., Red Springs, NC 28377 | 2019-11-21 |
| 1770133910 | Native Angels Total Property Management, LLC | Home Health | 11395 Hwy 211 W, Red Springs, NC 28377 | 2019-09-19 |
| 1073962718 | Red Springs Old Main, Inc | Pharmacy | 300 S. Main Street, Red Srpings, NC 28377 | 2016-06-03 |
| 1174977094 | Christopher Chapman | Specialist/Technologist | 509 North Vance Street, Red Springs, NC 28377 | 2016-04-17 |
| 1396066379 | T & L Empowerment, Inc. | Community/Behavioral Health | 110 W. 2nd Ave, Red Springs, NC 28377 | 2010-06-14 |
| 1124275201 | First Choice Comfort Care Agency | Home Health | 105 Lowery Rd, Red Springs, NC 28377 | 2008-08-20 |
| 1902076052 | Carol C Jones | Religious Nonmedical Nursing Personnel | 3553 South Duffie Road, Red Springs, NC 28377 | 2008-03-05 |
| 1205044799 | Cheryl R Locklear | Dentist | 239 S. Main Street, Red Springs, NC 28377 | 2007-05-18 |
| 1457401762 | Douglas Jackson | Dentist | 714 E. 4th Ave, Red Springs, NC 28377 | 2007-01-11 |
| Find all providers in zip 28377 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447570577 | Georgianna Mack | Social Worker | 1244 Mount Tabor Rd, Red Springs, NC 28377-6324 | 2010-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881887 | Lillian Jean Goodkind | Social Worker | 68 N French Broad Ave, Asheville, NC 28801-2600 | 2020-11-05 |
| 1770184657 | Delia Hearon | Social Worker | 100 Village Circle Way Apt 216, Durham, NC 27713-6131 | 2020-11-05 |
| 1346841459 | Mickaella Ann Moser | Social Worker | 3030 Adams Blvd Apt 13, Greenville, NC 27858-4840 | 2020-11-04 |
| 1750981346 | Tarsha M. Hall | Social Worker | 645 Spruce Garden Ct, Rural Hall, NC 27045-9159 | 2020-11-01 |
| 1184224727 | Kwanza Suzanne Winn | Social Worker | 2510 Hope Way Ln Apt 202, Charlotte, NC 28262-6955 | 2020-10-30 |
| 1164022570 | Directional Care Community Services LLC. | Social Worker | 6220 Sid Crane Dr, Charlotte, NC 28216-7684 | 2020-10-27 |
| 1295335602 | Macie Whitlow | Social Worker | 1825 W City Dr Ste A&b, Elizabeth City, NC 27909-9675 | 2020-10-27 |
| 1689274011 | Ashleigh Weckesser | Social Worker | 216 Reams Dr, Middlesex, NC 27557-8650 | 2020-10-26 |
| 1750980256 | Victoria Snow | Social Worker | 504 E Pettigrew St Apt 449, Durham, NC 27701-3888 | 2020-10-26 |
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| Find all providers with the same taxonomy | ||||
| City | RED SPRINGS |
| Zip Code | 28377 |
Please comment or provide details below to improve the information on SOUL SHINE CHILDREN'S TREATMENT SERVICES, INC..
| 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.