South Shore Mental Health

LBN: South Shore Mental Health
South Shore Mental Health is an health care organization with primary practice located at 4820 Swanns Mill Dr , Durham NC 27704-1492. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. South Shore Mental Health can be contacted via phone (919) 323-0381, or through Gooden-Alexis, Sonia via phone (919) 323-0381.

Contact Information

Primary practice address
4820 Swanns Mill Dr Durham NC 27704-1492
Phone: (919) 323-0381
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gooden-Alexis, Sonia
Phone: (919) 323-0381

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 5736 Massachusetts
Agencies / Public Health or Welfare 251K00000X 6748 North Carolina

Profile Details

NPI number 1851480891
LBN Legal business name South Shore Mental Health
DBA Doing business as
Authorized official Gooden-Alexis, Sonia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 17th, 2008 - about 17 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 1851480891 NPPES
Massachusetts MEDICAID S014759

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