Organization Active NPI

Lee Community Support and Wellness

  • Community/Behavioral Health Agency
  • Bethel, NC
National Provider Identifier
1043485147
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LEE COMMUNITY SUPPORT AND WELLNESS
Practice address
149 W Railroad St
Bethel, NC 27812-7812
Phone
(252) 325-5668
NPI assigned
Apr 29, 2008
Last updated
Oct 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
Mrs. Myrtle Lee BurdenNPI 1669605457
Title
Ceo, Director, Qualified Profession
Phone
(252) 825-3314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

149 W Railroad St
Bethel, NC 27812-7812

Mailing address

213 W Railroad St
PO Box 1146
Bethel, NC 27812-7812
Phone (252) 325-5668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1043485147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W RAILROAD ST",
            "address_2": "PO BOX 1146",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278127812",
            "telephone_number": "252-325-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 W RAILROAD ST",
            "city": "BETHEL",
            "state": "NC",
            "postal_code": "278127812",
            "telephone_number": "252-325-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE COMMUNITY SUPPORT AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BURDEN",
        "authorized_official_first_name": "MYRTLE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO, DIRECTOR, QUALIFIED PROFESSION",
        "authorized_official_telephone_number": "252-825-3314",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.