PREMIER BEHAVIORAL SERVICES INC


Address: 104 Industrial Park Road, Tabor City, NC 28463-1665
Phone: 9106533040

PREMIER BEHAVIORAL SERVICES INC (NPI# 1609105592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609105592
Entity Type Organization
Organization Name PREMIER BEHAVIORAL SERVICES INC
Practice Address 104 Industrial Park Road
Tabor City
NC 28463-1665
Mailing Address 2003 Godwin Ave Ste B
Lumberton
NC 28358-3150
Practice Telephone 9106533040
Practice Fax Number 9106533040
Mailing Telephone 9106711111
Mailing Fax Number 9106714454
Enumeration Date 2009-12-23
Last Update Date 2010-03-22
Authorized Official Name SANTHOSH AUGUSTINE (PRESIDENT)
Authorized Official Telephone 9107332007
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health MHL 024 082 NC Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1295137776 Premier Behavioral Services Inc Psychiatry & Neurology 81 Halley Dr, Pomona, NY 10970-2109 2014-09-16
1457657645 Premier Behavioral Services Inc Social Worker 2003 Godwin Ave, Suite B, Lumberton, NC 28358-3197 2011-02-04

Office Location

Street Address 104 INDUSTRIAL PARK ROAD
City TABOR CITY
State NC
Zip Code 28463-1665

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992347157 Mh Medical Services, PC Nurse Practitioner 1107 East 5th St., Tabor City, NC 28463 2019-10-09
1962658237 Generations Family Medicine Family Medicine 106 Tabor Crossing, Tabor City, NC 28463 2008-08-18
1942404637 Coming Together Inc. Residential Treatment Facility, Emotionally Disturbed Children 5112 Chadbourn Hwy, Chadbourn, NC 28463 2007-06-14
1568509826 Dameron Drug Store, Inc Durable Medical Equipment & Medical Supplies 100 S Main St., Tabor City, NC 28463 2007-01-30
1871560631 Dameron Drug Store Inc Durable Medical Equipment & Medical Supplies 100 S Main St, Tabor City, NC 28463 2006-03-01
1497972996 Edward Mcclendon IIi Dentist 501 Hickman Rd., Tabor City, NC 28463-0536 2007-04-19
1467568337 Twin States Vital Care, Inc. Durable Medical Equipment & Medical Supplies 218b S Main St, Tabor City, NC 28463-1904 2006-08-22
1174639041 Medicine Mart Ltc, LLC Pharmacy 214 S Main St, Tabor City, NC 28463-1904 2006-08-22
1912013889 Tabor City Medicine Mart, Inc Pharmacy 220 S Main St, Tabor City, NC 28463-1904 2006-08-22
1053394775 Twin State Home Healthcare Services Inc Durable Medical Equipment & Medical Supplies 218 S Main St, Tabor City, NC 28463-1904 2005-11-28
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174121438 Curtis Wayne Royal Community/Behavioral Health 1407 Groveland Trl, Greensboro, NC 27407-5061 2020-10-09
1578178588 Emmanuel Homecare, Inc. Community/Behavioral Health 12551 Hashanli Pl, Matthews, NC 28105-3401 2020-09-15
1336753284 Transformation Health Services Inc. Community/Behavioral Health 2023 Connonade Dr, Waxhaw, NC 28173-0109 2020-09-08
1053925099 Essential Pathways Counseling and Consulting, Pllc Community/Behavioral Health 5009 Beatties Ford Rd Ste 107-274, Charlotte, NC 28216-2859 2020-09-08
1720692833 Tgh Phase 2 Community/Behavioral Health 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 2020-09-04
1669086948 October Road, Inc. Community/Behavioral Health 1304 Plaza Dr Ste 2312, Burlington, NC 27215-7165 2020-09-03
1225640188 Flovi of Nc Inc. Community/Behavioral Health 1916 Sunset Ave, Rocky Mount, NC 27804-2520 2020-08-20
1275145658 Next Level Counseling, Pllc Community/Behavioral Health Tele-therapy Only, Cary, NC 27511 2020-08-18
1023628872 Jonathan Mccrary Community/Behavioral Health 5745 Bramblegate Rd Unit A, Greensboro, NC 27409-3019 2020-08-06
1841809746 Ryan's Place, LLC Community/Behavioral Health 6000 Fairview Rd Ste 1259, Charlotte, NC 28210-2224 2020-07-27
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Competitor

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City TABOR CITY
Zip Code 28463

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Dataset Information

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.

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