Emanuel's Sons and Daughters of Promise

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EMANUEL'S SONS AND DAUGHTERS OF PROMISE

Practice address

13180 Gaston Ave
Laurinburg, NC 28352-5952

Phone

(910) 318-2176

NPI assigned

Mar 28, 2023

Last updated

Mar 29, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kenneth Earl Samuda

Title

Owner

Phone

(910) 318-2176

Specialties & licenses 2

Addresses

Other names 1

• Emanuel's sons and dauhgters of promise Other name

Tax ID family

Emanuel's Sons and Daughters of Promise2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Emanuel's Sons and Daughters of Promise

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laurinburg, NC
  • NPI 1366144677
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth Earl Samuda

  • Addiction (Substance Use Disorder) Counselor
  • Laurinburg, NC
  • NPI 1740991041
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1033813621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13180 GASTON AVE",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525952",
            "telephone_number": "910-318-2176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13180 GASTON AVE",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283525952",
            "telephone_number": "910-318-2176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL'S SONS AND DAUGHTERS OF PROMISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "SAMUDA",
        "authorized_official_first_name": "KENNETH EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-318-2176",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Emanuel's sons and dauhgters of promise",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Emanuel's sons and dauhgters of promise",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lamont Edmond, LCSWA
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• Edwin Morgan Center, Inc.
• Veronica Efros, MD
• Ellis Consulting and Associates (Crossroads Healthcare)
• Emanuel's Sons and Daughters of Promise
• Empowerment Group Home Care Inc
• Empowerment Grouphome Care Inc
• Christy Capps Erwin, NURSE PRACTITIONER
• Evergreen Behavioral Management, Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.