NPIMap

Organization Active NPI

Southeastern Community Services

  • Professional Counselor
  • Lumberton, NC
National Provider Identifier
1043564024
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SOUTHEASTERN COMMUNITY SERVICES
Practice address
11276 US Highway 301 N
Lumberton, NC 28360-3789
Phone
(910) 272-9129
Fax
(910) 272-9141
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mrs. Helen Debbie Hardin
Title
Owner
Phone
(910) 272-9129

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X

Addresses

Primary practice location

11276 US Highway 301 N
Lumberton, NC 28360-3789

Mailing address

11276 US Hwy 301 North
Lumberton, NC 28360-3789
Phone (910) 272-9129

National Provider Directory

National Provider Directory

Locations

11276 US Highway 301 N
Lumberton, NC 28360
Phone (910) 272-9129

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1043564024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11276 US HWY 301 NORTH",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283603789",
            "telephone_number": "910-272-9129",
            "fax_number": "910-272-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11276 US HIGHWAY 301 N",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283603789",
            "telephone_number": "910-272-9129",
            "fax_number": "910-272-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "HARDIN",
        "authorized_official_first_name": "HELEN",
        "authorized_official_middle_name": "DEBBIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-272-9129",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2012; 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.