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Organization
SOUTHEASTERN REGIONAL MENTAL HEALTH
Active
Organization
SOUTHEASTERN REGIONAL MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI EVANS (FINANCE OFFICER)
(910) 272-1230
Entity
Organization
Contact information
Practice address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 272-1230
(910) 738-8230
Mailing address
450 COUNTRY CLUB RD, LUMBERTON, NC 28360-9494
(910) 272-1230
(910) 738-8230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005444
—
NC
Enumeration date
02/20/2007
Last updated
02/18/2011
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