PORT HUMAN SERVICES


Address: 233 Modlin Road, Ahoskie, NC 27910-8220
Phone: 2523322546

PORT HUMAN SERVICES (NPI# 1881744084) 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) 1881744084
Entity Type Organization
Organization Name PORT HUMAN SERVICES
Practice Address 233 Modlin Road
Ahoskie
NC 27910-8220
Mailing Address 2245 Stantonsburg Rd
Suite P
Greenville
NC 27834-2868
Practice Telephone 2523322546
Practice Fax Number 2523323498
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101Y00000X Counselor Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC 8301162 05
NC 6005922 05

Other Provider IDs and Locations

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
1457401549 Port Human Services Counselor 860 Tiffany Blvd, Rocky Mount, NC 27804-1809 2007-01-11
1780734988 Port Human Services Counselor 2269 Stantonsburg Road, Greenville, NC 27834-7826 2007-01-11

Office Location

Street Address 233 MODLIN ROAD
City AHOSKIE
State NC
Zip Code 27910-8220

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376039446 Liberty Healthcare Group LLC Home Health 216 Church Street, W, Ahoskie, NC 27910 2018-07-02
1265925697 Livingwordoutreachministries.com Health Educator 208 Carolina Ave S, Ahoskie, NC 27910 2018-06-11
1932623956 Vernon David Collins Pharmacist 925 East Memorial Drive, Ahoskie, NC 27910 2017-08-01
1417484890 Apoorva Vivek Saoji Internal Medicine 500 S Academy St, Hospitalist Department, Attn Lou Harrell, Ahoskie, NC 27910 2017-05-17
1124483532 Shanta Harrell Adult Companion 106 Holloman Avenue, Ahoskie, NC 27910 2015-12-30
1144607623 All-american Home Care, LLC In Home Supportive Care 900 E. Memorial Dr, Ahoskie, NC 27910 2015-05-04
1649660481 Lindsay Yount Lyall Physician Assistant 500 South Academy Street, Ahoskie, NC 27910 2015-02-02
1932506771 Kathy Massengale Nurse Practitioner 312 South Academy Street Suite B, Integrated Family Services, Ahoskie, NC 27910 2014-11-21
1750700795 Jessica Brown Spruill Dietitian, Registered 718 Evans Street, Ahoskie, NC 27910 2014-04-07
1437405578 Lakeisha Yvette Walker Counselor 114b West St S, Ahoskie, NC 27910 2012-07-26
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346875903 Alicia L Mitchell Counselor 301 Main St W, Ahoskie, NC 27910-3319 2020-03-04
1417293663 Port Health Services Counselor 144b Community College Rd, Ahoskie, NC 27910-8047 2012-12-17
1114272309 Margalita Brigette Hooper-vinson Counselor 619 Hexlena Road, Ahoskie, NC 27910-0515 2012-07-13
1457591232 Lorraine Chavis Mitchell Counselor 353 E Saluda Hall Rd, Ahoskie, NC 27910-8287 2009-03-06
1629448659 Beverly Clark-williams Counselor 816 Memorial Dr E, Ahoskie, NC 27910-3914 2015-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1083215347 Jean Moree Counselor 569 Presnell School Rd, Banner Elk, NC 28604-8306 2020-11-03
1639779655 Warfair Counseling, Consulting, & Supervision, Pllc Counselor 301 South Elm Street, Suite 801, Greensboro, NC 27401 2020-10-28
1336749324 Wanda V Jones Counselor 11634 Windy Creek Dr Apt H, Charlotte, NC 28262-1923 2020-10-28
1619576352 Bianca Faith Monroe Counselor 111 Lamon St Ste 100, Fayetteville, NC 28301-4917 2020-10-23
1861091662 Chiquitta Williams Lesene Counselor 407 E Fremont Street, Burgaw, NC 28425 2020-10-22
1841897667 Latia Edwards Counseling Services Counselor 1224 Kirt Ct, Charlotte, NC 28213-5966 2020-10-05
1760089825 Christine Lynn Jeffreys Counselor 3532 Hamilton Mill Dr, Raleigh, NC 27616-9007 2020-10-02
1164039863 Kamini Wood Counselor 2670 Cedar Hedge Ct, Apex, NC 27523-7136 2020-09-26
1821604463 Recovery Services of The Carolinas, LLC Counselor 10831 Pineville Rd Ste 8, Pineville, NC 28134-8137 2020-09-18
1841805322 Ashley Evans Counselor 358 Hunting Green Dr, Jacksonville, NC 28546-9129 2020-09-11
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Competitor

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City AHOSKIE
Zip Code 27910

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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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