Organization
MID ATLANTIC ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DISHAWN SUTTON (MANAGER)
(984) 251-4400
Entity
Organization
Contact information
Practice address
211 W 14TH ST, GREENVILLE, NC 27834-4081
(984) 251-4400
Mailing address
211 W 14TH ST, GREENVILLE, NC 27834-4081
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
103TR0400X
Rehabilitation Psychologist
—
—
103TS0200X
School Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
02/19/2026
Last updated
02/19/2026
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