SOUTHEASTERN COMMUNITY SERVICES (NPI# 1043564024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043564024 |
| Entity Type | Organization |
| Organization Name | SOUTHEASTERN COMMUNITY SERVICES |
| Practice Address |
11276 Us Highway 301 N Lumberton NC 28360-3789 |
| Mailing Address |
11276 Us Hwy 301 North Lumberton NC 28360-3789 |
| Practice Telephone | 9102729129 |
| Practice Fax Number | 9102729141 |
| Mailing Telephone | 9102729129 |
| Mailing Fax Number | 9102729141 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2012-10-30 |
| Authorized Official Name | MRS. HELEN DEBBIE HARDIN (OWNER) |
| Authorized Official Telephone | 9102729129 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Street Address |
11276 US HIGHWAY 301 N |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28360-3789 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629505573 | Vernon Archie Wiggins IIi | Counselor | 242 S Lhs Dr, Lumberton, TX 77657-8603 | 2017-05-22 |
| 1023449790 | Beverly Oxendine Young II | Counselor | 111 Elba St, Lumberton, NC 28358-3457 | 2013-12-06 |
| 1235481938 | Primary Health Choice, Inc. | Counselor | 107 Mount Moriah Church Rd Ste A, Lumberton, NC 28360-8446 | 2012-10-05 |
| 1700161635 | Chandra Jeanne Graham | Counselor | 4101 W Carthage Rd, Lumberton, NC 28360-9389 | 2011-10-11 |
| 1740584655 | Mark Michael Asteris Jr. | Counselor | 6 Old Trahan Pl, Lumberton, TX 77657-7013 | 2011-01-06 |
| 1235383878 | Karen D Nance | Counselor | 1384 Linkhaw Rd, Lumberton, NC 28358 | 2008-11-10 |
| 1447433099 | Primary Health Choice, Inc. | Counselor | 4822 Fayetteville Rd, Lumberton, NC 28358-2112 | 2007-12-06 |
| 1508069683 | Michael Antonio Powell | Counselor | 101 N Court Sq, Office 18, Lumberton, NC 28358-5579 | 2007-06-07 |
| 1598983991 | George Ross Iles IIi | Counselor | 260 Magnolia Trl, Lumberton, TX 77657-9277 | 2007-04-23 |
| 1780729608 | Lena Michelle Lowry | Counselor | 6367 Union Chapel Rd, Lumberton, NC 28360-3501 | 2007-02-20 |
| 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.