Organization
SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE PERSAUD (OWNER)
(252) 642-5345
Entity
Organization
Contact information
Practice address
300 N MAIN ST STE 205, FRANKLIN, VA 23851-1700
(252) 642-5345
(877) 225-6011
Mailing address
PO BOX 134, COLERAIN, NC 27924-0134
(252) 642-5345
(877) 225-6011
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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