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Organization
SOUTHERN CROSS MENTAL HEALTH SERVICES INC
Active
Organization
SOUTHERN CROSS MENTAL HEALTH SERVICES INC
Active
Other names
Southern Cross Mental Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM DALE HUDSON SR. MS MED MDIV (CEO/OWNER)
(843) 716-6000
Entity
Organization
Contact information
Practice address
1424 S JK POWELL BLVD, WHITEVILLE, NC 28472-9167
(910) 640-2007
(910) 640-3911
Mailing address
PO BOX 656, TABOR CITY, NC 28463-0656
(843) 716-6000
(843) 716-6007
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
11/20/2007
Last updated
05/29/2009
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