# SURE FOUNDATION BEHAVIORAL HEALTH SERVICES, LLC

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

## Provider details

- **NPI number:** 1700425501
- **Authorized official:** MRS. GALE BATTS SHIVER BA,MS,LCAS,CCS,MAC,S (CLINICAL DIRECTOR)
- **Authorized official phone:** (252) 215-3089

## Contact information

- **Practice address:** 3219 LANDMARK ST STE 3A, GREENVILLE, NC 27834-7688
- **Practice address phone:** (252) 215-3089
- **Mailing address:** PO BOX 8211, GREENVILLE, NC 27835-8211
- **Mailing address phone:** (252) 215-3089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |

## Other

- **Enumeration date:** 12/27/2019
- **Last updated:** 12/27/2019