Southeastern Regional Mental Health Center

LBN: Southeastern Regional Mental Health Center
Southeastern Regional Mental Health Center is an health care organization with primary practice located at 450 Country Club Rd , Lumberton NC 28360-9494. The organization recently has 6 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 / Psychologist, Behavioral Health & Social Service Providers / Clinical, Agencies / Case Management, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is the primary health care specialty. Southeastern Regional Mental Health Center can be contacted via phone (910) 272-1230, or through Evans, Vickie via phone (910) 272-1230.

Contact Information

Primary practice address
450 Country Club Rd Lumberton NC 28360-9494
Phone: (910) 272-1230
Fax: (910) 272-1299
Website:
Map and Directions
Authorized official contact:
Name: Evans, Vickie CFO
Phone: (910) 272-1230

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Agencies / Case Management 251B00000X
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1881608883
LBN Legal business name Southeastern Regional Mental Health Center
DBA Doing business as
Authorized official Evans, Vickie CFO
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Jan 3rd, 2008 - 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 1881608883 NPPES
North Carolina MEDICAID 3404926
North Carolina MEDICAID 3408189
North Carolina MEDICAID 8300922

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