| Southeastern Behavioral Healthcare Services | |
|
3581 Lackey St Lumberton NC 28360-9048 | |
| (910) 738-1587 | |
| (910) 738-1581 |
| Full Name | Southeastern Behavioral Healthcare Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3581 Lackey St, Lumberton, North Carolina |
| Authorized Official Name and Position | Virgil L Hutchinson (CEO) |
| Authorized Official Contact | 9107381587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Behavioral Healthcare Services Po Box 1004 Lumberton NC 28359-1004 Ph: (910) 738-1587 | Southeastern Behavioral Healthcare Services 3581 Lackey St Lumberton NC 28360-9048 Ph: (910) 738-1587 |
| NPI Number | 1932304714 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 06/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304714 | NPI | - | NPPES |
| 8300842R | Medicaid | NC | |
| 8300842H | Medicaid | NC | |
| 8300842B | Medicaid | NC | |
| 8300842 | Medicaid | NC | |
| 5909213 | Medicaid | NC | |
| 6005229 | Medicaid | NC | |
| 8702171 | Medicaid | NC | |
| 3408093 | Medicaid | NC | |
| 8300842G | Medicaid | NC | |
| 8300842S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C00269 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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