PREMIER BEHAVIORAL SERVICES INC (NPI# 1457657645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457657645 |
| Entity Type | Organization |
| Organization Name | PREMIER BEHAVIORAL SERVICES INC |
| Practice Address |
2003 Godwin Ave Suite B Lumberton NC 28358-3197 |
| Mailing Address |
2003 Godwin Avenue Suite B Lumberton NC 28358-3197 |
| Practice Telephone | 9106711111 |
| Practice Fax Number | 9106714454 |
| Mailing Telephone | 9106711111 |
| Mailing Fax Number | 9106714454 |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-14 |
| Authorized Official Name | DR. SANTHOSH AUGUSTINE (PRESIDENT) |
| Authorized Official Telephone | 9107332007 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C001816 | NC | Behavioral Health & Social Service Providers |
| N | 207R00000X | Internal Medicine | 9600445 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
19520 | NC | Allopathic & Osteopathic Physicians |
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295137776 | Premier Behavioral Services Inc | Psychiatry & Neurology | 81 Halley Dr, Pomona, NY 10970-2109 | 2014-09-16 |
| 1609105592 | Premier Behavioral Services Inc | Community/Behavioral Health | 104 Industrial Park Road, Tabor City, NC 28463-1665 | 2009-12-23 |
| Street Address |
2003 GODWIN AVE SUITE B |
| City | LUMBERTON |
| State | NC |
| Zip Code | 28358-3197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821067695 | Julie P. Dowless | Nurse Practitioner | 2003 Godwin Ave, Suite B, Lumberton, NC 28358-3149 | 2006-03-15 |
| 1144874348 | Lindsey Oxendine | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2019-07-26 |
| 1508322884 | Tammy Sampson | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2019-02-12 |
| 1962998500 | Candace Melvin | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2018-07-06 |
| 1508387994 | Eva Lynn Lowery | Social Worker | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2017-07-06 |
| 1861939076 | Samantha Oxendine | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2017-01-25 |
| 1619330453 | Mary Gerideau | Social Worker | 2003 Godwin Ave, Suite C, Lumberton, NC 28358-3149 | 2016-03-30 |
| 1144689837 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 2003 Godwin Ave, Ste A, Lumberton, NC 28358-3149 | 2016-02-23 |
| 1548626179 | Yniquekeyah Mole | Counselor | 2003 Godwin Ave, Lumberton, NC 28358-3149 | 2016-01-12 |
| 1245603323 | Corey Christopher Winston | Social Worker | 2003 Godwin Ave, Suite A, Lumberton, NC 28358-3149 | 2015-11-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812397 | Monarch | Community/Behavioral Health | 13128 Serenity Street, Huntersville, NC 28358 | 2019-10-15 |
| 1114577194 | Lashonda Patrice Bostic | Social Worker | 4719 Fayetteville Road, Lumberton, NC 28358 | 2019-09-12 |
| 1780232389 | Rosaline Whittington | Technician | 39 Sibley Road, Lumberton, NC 28358 | 2019-08-28 |
| 1790343168 | Emily Graham | Social Worker | 401 S. 27th Street, Lumberton, NC 28358 | 2019-05-31 |
| 1316420722 | Karen Lynn Warwick | Nurse Practitioner | 600 Farringdom St # Ab, Lumberton, NC 28358 | 2018-09-11 |
| 1982184149 | Virginia Feldick Hampton | Speech-Language Pathologist | Coastal Therapy Partners, 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-08-17 |
| 1366941882 | Ashlynn Faircloth Mckeithan | Occupational Therapist | 210 Liberty Hill Road, Lumberton, NC 28358 | 2018-02-10 |
| 1992153506 | Matthew Mercer | Nurse Anesthetist, Certified Registered | 2703 Riverwood Ave, Lumberton, NC 28358 | 2016-05-25 |
| 1295100964 | Chosen Health Care Services Inc | In Home Supportive Care | 705b Wesley Pines Road, Lumberton, NC 28358 | 2015-12-07 |
| 1346626173 | Brittany Renea Chavis | Social Worker | 888 Wire Grass Road, Lumberton, NC 28358 | 2015-08-04 |
| Find all providers in zip 28358 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on PREMIER BEHAVIORAL 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.