Walk-In Clinic

LBN: Southeastern Regional Mental Health
Walk-In Clinic is an health care organization with primary practice located at 207 W 29Th St , Lumberton NC 28358-2901. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Southeastern Regional Mental Health can be contacted via phone (910) 618-5606, or through Evans, Vicki via phone (910) 272-1217.

Contact Information

Primary practice address
207 W 29Th St Lumberton NC 28358-2901
Phone: (910) 618-5606
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Vicki
Phone: (910) 272-1217

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1689817223
LBN Legal business name Southeastern Regional Mental Health
DBA Doing business as Walk-In Clinic
Authorized official Evans, Vicki
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2009
Last updated Apr 13th, 2009 - about 16 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 1689817223 NPPES
North Carolina MEDICAID 5901282

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