# PORT HEALTH SERVICES

> 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
- **Other names:** PORT Human Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942674999
- **Authorized official:** BRETT BEAVERS (CREDENTIALING MANAGER)
- **Authorized official phone:** (919) 210-7661

## Contact information

- **Practice address:** 3715 GUARDIAN AVE, MOREHEAD CITY, NC 28557-4323
- **Practice address phone:** (252) 222-3144
- **Practice address fax:** (252) 222-3358
- **Mailing address:** 4300 SAPPHIRE CT STE 110, GREENVILLE, NC 27834-9079
- **Mailing address phone:** (252) 830-7561
- **Mailing address fax:** (252) 413-0932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2015
- **Last updated:** 05/24/2023