FAMILY FIRST SUPPORT CENTER INC (NPI# 1417123159) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417123159 |
Entity Type | Organization |
Organization Name | FAMILY FIRST SUPPORT CENTER INC |
Other Organization Name | FAMILY FIRST SUPPORT CENTER |
Practice Address |
707 College St Clinton NC 28328 |
Mailing Address |
770 Vail Rd Pikeville NC 27863-9446 |
Practice Telephone | 9195924507 |
Practice Fax Number | 9195924494 |
Mailing Telephone | 9196352334 |
Mailing Fax Number | 9196353388 |
Enumeration Date | 2008-05-02 |
Last Update Date | 2018-07-04 |
Authorized Official Name | MR. HOWARD CALHOUN (CEO/PRESIDENT) |
Authorized Official Telephone | 9196353344 |
Authorized Official Credential | LPCS, LCAS, CCS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | MHL-082-088 | NC | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6006595 | 05 |
Other Name | Type Code |
---|---|
Family First Support Center | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538207576 | Family First Support Center Inc | Community/Behavioral Health | 110 S Center St, Mount Olive, NC 28365 | 2007-02-02 |
1437453453 | Family First Support Center Inc | Community/Behavioral Health | 110 Sw Center St, Mount Olive, NC 28365 | 2011-01-05 |
1336345875 | Family First Support Center Inc | Community/Behavioral Health | 110 Sw Center St, Mount Olive, NC 28365 | 2007-06-22 |
1831237262 | Family First Support Center Inc | Counselor | 110 Sw Center St, Mount Olive, NC 28365 | 2007-02-01 |
Street Address |
707 COLLEGE ST |
City | CLINTON |
State | NC |
Zip Code | 28328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346732088 | Ronni Robinson Brantley | Behavior Technician | 707 College St, Clinton, NC 28328-3503 | 2018-05-30 |
1881186518 | Miranda Y Bryant | Specialist | 707 College St, Clinton, NC 28328-3503 | 2018-05-30 |
1699267336 | George Joyner | Peer Specialist | 707 College St, Clinton, NC 28328-3503 | 2018-05-30 |
1578054425 | Mickael John Stephens | Assistant Behavior Analyst | 707 College St, Clinton, NC 28328-3503 | 2018-05-27 |
1114434503 | Nichole Nimmo | Social Worker | 707 College St, Clinton, NC 28328-3503 | 2018-01-07 |
1043669856 | Donna R Landes | Counselor | 707 College St, Clinton, NC 28328-3503 | 2016-06-13 |
1023465416 | Robin Geddie Henderson | Counselor | 707 College St, Clinton, NC 28328-3503 | 2016-05-16 |
1063757581 | Ronald Paul Cox | Counselor | 707 College St, Clinton, NC 28328-3503 | 2012-12-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326470741 | Ashley Brown Spell | Pharmacist | 607 Beamen St, Clinton, NC 28328 | 2013-08-08 |
1225315666 | Southeastern Medical Oncology Center | Internal Medicine | 211 Beaman Street, Clinton, NC 28328 | 2011-11-14 |
1558686386 | Keith S Kinsley | Chiropractor | 346a Northeast Blvd, Clinton, NC 28328 | 2010-04-05 |
1891985123 | The Lawsons House | Residential Treatment Facility, Emotionally Disturbed Children | 790 Corwallis Road, Teachey, NE 28328 | 2007-08-01 |
1053519827 | Ronald H Honeycutt | Dentist | 705 Beaman Street, Clinton, NC 28328 | 2007-07-03 |
1265558134 | Alternative Care Treatments Systems, Inc-clinton | Community/Behavioral Health | 207a West Main Street, Clinton, NC 28328 | 2007-03-22 |
1851444764 | Tara Cotton | Counselor | 302 Turlington Street, Clinton, NC 28328 | 2007-01-22 |
1750460952 | Sophia B Pierce & Associates Inc | Non-emergency Medical Transport (VAN) | 112 Royal Lane, Clinton, NC 28328 | 2006-11-06 |
1790867158 | Michelle Sessoms Simmons | Nurse Practitioner | 360 County Complex Road, (sampson County Health Department), Clinton, NC 28328 | 2006-10-19 |
1487753182 | Sessoms Medical Associates, LLC | Internal Medicine | 500 Beaman Street, Clinton, NC 28328 | 2006-09-21 |
Find all providers in zip 28328 |
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] |
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1114570173 | Strive Therapeutic Services Inc | Community/Behavioral Health | 1508 Neptune Dr, Clinton, OK 73601-9706 | 2019-07-18 |
1467987701 | One Hope, LLC | Community/Behavioral Health | 2 Dove Way Cir, Clinton, MS 39056-3589 | 2017-04-24 |
1043751548 | Wilma Gaines | Community/Behavioral Health | 7801 Royal Fern Ct, Clinton, MD 20735-2054 | 2017-03-16 |
1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
1003365164 | Right Path House, LLC | Community/Behavioral Health | 23 Elmwood Way, Clinton, CT 06413-1508 | 2016-09-29 |
1912452095 | Restore Counseling and Consulting Services | Community/Behavioral Health | 610 E Leake St, Clinton, MS 39056-4321 | 2016-08-18 |
1245691187 | Frelix Consulting | Community/Behavioral Health | 207 Trailwood Dr, Clinton, MS 39056-5844 | 2016-03-18 |
1861880585 | Counseling & Assesment Clinic | Community/Behavioral Health | 1 Coolidge Pl Suit 712, Clinton, MA 01510 | 2015-01-05 |
Find all providers in CLINTON |
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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.