Southeastern Psychological Services

LBN: Southeastern Psychological Services
Southeastern Psychological Services is an health care organization with primary practice located at 302 N Main St , Fairmont NC 28340-1730. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Southeastern Psychological Services can be contacted via phone (910) 628-6718, or through Oliver-Link, Linda via phone (910) 682-6718.

Contact Information

Primary practice address
302 N Main St Fairmont NC 28340-1730
Phone: (910) 628-6718
Fax: (910) 628-6719
Website:
Map and Directions
Authorized official contact:
Name: Oliver-Link, Linda
Phone: (910) 682-6718

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X North Carolina

Profile Details

NPI number 1952301079
LBN Legal business name Southeastern Psychological Services
DBA Doing business as
Authorized official Oliver-Link, Linda
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2005
Last updated Jul 21st, 2022 - about 2 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 1952301079 NPPES
North Carolina Other 0384M BCBS
North Carolina MEDICAID 6005435 BCBS
North Carolina Other 1318H BCBS

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