# P R HEALTH SERVICES OF NC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366150906
- **Authorized official:** MRS. AVIS REGINA MITCHELL BSW,MA,QP,CDAC (SUBSTANCE ABUSE COUNSELOR)
- **Authorized official phone:** (919) 348-7784

## Contact information

- **Practice address:** 3208 SUNSET AVE STE C, ROCKY MOUNT, NC 27804-3590
- **Practice address phone:** (919) 348-7784
- **Mailing address:** 3208 SUNSET AVE STE C, ROCKY MOUNT, NC 27804-3590
- **Mailing address phone:** (919) 348-7784

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 11/14/2022
- **Last updated:** 01/17/2023