Dixon Social Interactive Services, Inc.

LBN: Dixon Social Interactive Services, Inc.
Dixon Social Interactive Services, Inc. is an health care organization with primary practice located at 313 Clifton St. , Greenville NC 27858-8504. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Dixon Social Interactive Services, Inc. can be contacted via phone (252) 353-0100, or through Dixon, Derria via phone (252) 258-8946.

Contact Information

Primary practice address
313 Clifton St. Greenville NC 27858-8504
Phone: (252) 353-0100
Fax: (252) 364-8117
Website:
Map and Directions
Authorized official contact:
Name: Dixon, Derria
Phone: (252) 258-8946

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 200100499 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 200100499 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X 200100499 North Carolina

Profile Details

NPI number 1841411071
LBN Legal business name Dixon Social Interactive Services, Inc.
DBA Doing business as
Authorized official Dixon, Derria
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2007
Last updated Dec 15th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841411071 NPPES
North Carolina MEDICAID 6005438

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