Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WORD OF LIFE OUTREACH OF CAPE FEAR INC
Active
Organization
WORD OF LIFE OUTREACH OF CAPE FEAR INC
Active
Other names
Word of Life Outreach Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY A JOHNSON BA (PRESIDENT)
(910) 371-5300
Entity
Organization
Contact information
Practice address
10225 BLACKWELL RD SE, LELAND, NC 28451
(910) 371-5300
(910) 371-5302
Mailing address
PO BOX 717, LELAND, NC 28451-0717
(910) 371-5300
(910) 371-5302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NC
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NC
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
251B00000X
Case Management Agency
—
NC
251C00000X
Developmentally Disabled Services Day Training Agency
3418845
NC
251S00000X
Community/Behavioral Health Agency
MHL-010-061
NC
253J00000X
Foster Care Agency
197
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006100
—
NC
05
—
6603477
—
NC
05
—
6603673
—
NC
05
—
6603769
—
NC
05
—
6603942
—
NC
05
—
6604290
—
NC
05
—
6604291
—
NC
05
—
8301346
—
NC
05
—
8302371
—
NC
Enumeration date
02/20/2007
Last updated
02/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up