Soul Shine Children'S Treatment Services, Inc.

LBN: Soul Shine Children'S Treatment Services, Inc.
Soul Shine Children'S Treatment Services, Inc. is an health care organization with primary practice located at 218 E 2Nd Ave , Red Springs NC 28377-1308. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Soul Shine Children'S Treatment Services, Inc. can be contacted via phone (910) 536-6094, or through Deese, Leshia Rogers via phone (910) 536-6094.

Contact Information

Primary practice address
218 E 2Nd Ave Red Springs NC 28377-1308
Phone: (910) 536-6094
Fax: (910) 843-9728
Website:
Map and Directions
Authorized official contact:
Name: Deese, Leshia Rogers Licensed Clinical Social Worker (LCSW)
Phone: (910) 536-6094

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCAS-21969 North Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X C005175 North Carolina

Profile Details

NPI number 1982818399
LBN Legal business name Soul Shine Children'S Treatment Services, Inc.
DBA Doing business as
Authorized official Deese, Leshia Rogers Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Jul 9th, 2015 - about 9 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 1982818399 NPPES
North Carolina MEDICAID 6106174

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