PORT HUMAN SERVICES (NPI# 1780734988) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780734988 |
Entity Type | Organization |
Organization Name | PORT HUMAN SERVICES |
Practice Address |
2269 Stantonsburg Road Greenville NC 27834-7826 |
Mailing Address |
2245 Stantonsburg Rd Suite P Greenville NC 27834-2868 |
Practice Telephone | 2527520130 |
Practice Fax Number | 2527524949 |
Mailing Telephone | 2527520483 |
Mailing Fax Number | 2527522971 |
Enumeration Date | 2007-01-11 |
Last Update Date | 2020-08-22 |
Authorized Official Name | THOMAS O SAVIDGE (CEO) |
Authorized Official Telephone | 2527520483 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 101Y00000X | Counselor | MHL-074-150 | NC | Behavioral Health & Social Service Providers |
X | 1041C0700X |
Social Worker Specialization: Clinical |
MHL-074-150 | NC | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NC | 6005362 | 05 | |
NC | BCBS | 016X5 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659664548 | Port Human Services | Community/Behavioral Health | 1409 Parkview Dr, Elizabeth City, NC 27909-6533 | 2011-05-25 |
1730484221 | Port Human Services | Community/Behavioral Health | 605 #2 Nixon Street, Wilmington, NC 28401-3004 | 2011-01-14 |
1821393315 | Port Human Services | Community/Behavioral Health | 607 #2 Nixon Street, Wilmington, NC 28401-3043 | 2011-01-14 |
1003140583 | Port Human Services | Counselor | 114 Avon Avenue, Washington, NC 27889-3841 | 2009-09-30 |
1669610580 | Port Human Services | Counselor | 321 N. Front Street Office 304, The Cotton Exchange, Wilmington, NC 28401-3908 | 2009-01-30 |
1316077043 | Port Human Services | Counselor | 15 Ireland Drive, Bayboro, NC 28515-0519 | 2007-03-06 |
1205988276 | Port Human Services | Community/Behavioral Health | 227 Kingold Road, Suite C, Snow Hill, NC 28580-1303 | 2007-01-18 |
1588716351 | Port Human Services | Community/Behavioral Health | 2269 Stantonsburg Rd, Greenville, NC 27834-7826 | 2007-01-18 |
1881744084 | Port Human Services | Counselor | 233 Modlin Road, Ahoskie, NC 27910-8220 | 2007-01-11 |
1457401549 | Port Human Services | Counselor | 860 Tiffany Blvd, Rocky Mount, NC 27804-1809 | 2007-01-11 |
Street Address |
2269 STANTONSBURG ROAD |
City | GREENVILLE |
State | NC |
Zip Code | 27834-7826 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780281766 | Built for Mental Wellness, PC | Marriage & Family Therapist | 2269 Stantonsburg Road, Greenville, NC 27834 | 2020-10-03 |
1992362990 | Jacob Garman | Counselor | 2269 Stantonsburg Road, Greenville, NC 27834-3200 | 2019-05-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841801255 | Nicholas Mcarthur Bennett | Day Training, Developmentally Disabled Services | 302 C, Greenville, NC 27834 | 2020-08-11 |
1275150245 | Shelby Renee Jones | Student in an Organized Health Care Education/Training Program | East Carolina University College of Nursing, 600 Moye Blvd, Greenville, NC 27834 | 2020-06-25 |
1194347138 | Soban Ahmad | Student in an Organized Health Care Education/Training Program | 600 Moye Blvd., Vmc Ma Room 350. Internal Medicine Resi, Mailstop #734, Greenville, NC 27834 | 2020-05-13 |
1427687789 | Brandon Allen Yates | Student in an Organized Health Care Education/Training Program | 435 Clinic Drive, Greenville, NC 27834 | 2020-04-07 |
1144854407 | Kristen Springer Dreyfus | Marriage & Family Therapist | 2609 West Arlington Blvd Suite 106, Greenville, NC 27834 | 2020-02-26 |
1861038606 | Southern Surgical Outpatient Surgery Center, Pa | Clinic/Center | 2457 Emerald Place, Greenville, NC 27834 | 2019-11-26 |
1003460569 | Shaun Fitzpatrick | Nurse Practitioner | Physicians East, Pa 1850 W. Arlington Blvd., Greenville, NC 27834 | 2019-08-01 |
1649831496 | Katherine Salome Ross | Genetic Counselor, MS | 524 Moye Blvd, Greenville, NC 27834 | 2019-06-24 |
1477011880 | Lauren Bethune Scroggs | Counselor | 2150 West 5th Street, Health Sciences Building Mailstop 688, Greenville, NC 27834 | 2019-03-05 |
1669998001 | Idella's Care Home | Community/Behavioral Health | 2912 Lee Ct # 9a, Greenville, NC 27834 | 2017-08-17 |
Find all providers in zip 27834 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710522586 | Samuel Bethea Cann V | Counselor | 212 Whitsett St, Greenville, SC 29601-3141 | 2019-11-15 |
1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
1457993123 | Innovation Counseling Services | Counselor | 8 Sycamore Dr Ste B9, Greenville, SC 29607-2965 | 2019-10-14 |
1316591498 | Nelzarie I Wynn | Counselor | 151 Commons Way, Greenville, SC 29611-3850 | 2019-07-28 |
1356809990 | Atlantic Consulting and Therapy Specialists, Pa | Counselor | 3493-e Evans Street, Greenville, NC 27834-4535 | 2019-03-02 |
1710462916 | Bennett's Counseling Services | Counselor | 1478 Old Central Rd, Greenville, AL 36037-6159 | 2018-10-03 |
1154839694 | Tiffany Nicole Ceasar | Counselor | 365 W Reed Rd Ste 1a, Greenville, MS 38701-6967 | 2018-01-18 |
1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
1629591391 | Tenesha Marshall | Counselor | 365 W Reed Rd # A-1, Greenville, MS 38701-6967 | 2017-07-25 |
1871016428 | Damon Loren Rappleyea | Counselor | 300 E Arlington Blvd Ste 9a, Greenville, NC 27858-5050 | 2017-07-25 |
Find all providers in GREENVILLE |
City | GREENVILLE |
Zip Code | 27834 |
Please comment or provide details below to improve the information on PORT HUMAN SERVICES.
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.