Organization
SUPERIOR LIVING,LLC
Active
Organization
SUPERIOR LIVING,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALARIE ANDERSON (DIRECTOR)
(252) 281-1088
Entity
Organization
Contact information
Practice address
3709 COLUMBIA AVE NW, WILSON, NC 27896-1604
(252) 281-1088
Mailing address
3709 COLUMBIA AVE NW, WILSON, NC 27896-1604
(252) 281-1088
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208D00000X
General Practice Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
MHL098141
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MHL098141
—
NC
Enumeration date
02/02/2010
Last updated
12/16/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up