# SOUTHMOUNTAIN CHILDREN AND FAMILY 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952689309
- **Authorized official:** MR. WILLIAM CHRIS JERNIGAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (828) 584-1105

## Contact information

- **Practice address:** 81 W FORT ST, MARION, NC 28752-4930
- **Practice address phone:** (828) 584-1105
- **Mailing address:** PO BOX 3387, MORGANTON, NC 28680-3387
- **Mailing address phone:** (828) 391-2803

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 08/02/2011
- **Last updated:** 05/17/2019