Organization Active NPI

Corpus Christi MH DD Sas

  • Counselor
  • Lumberton, NC
National Provider Identifier
1053641829
Registry record updated Dec 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MHL078241 Issued in NC
Legal business name
CORPUS CHRISTI MH DD SAS
Practice address
210 E 2ND St
Lumberton, NC 28358-5620
Phone
(910) 735-2988
Fax
(910) 735-2987
NPI assigned
Dec 30, 2009
Last updated
Dec 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2009

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

Authorized official

Name
Mrs. Cheryl R. McRae
Title
Ceo
Phone
(910) 735-2988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MHL078241 NC Primary

Addresses

Primary practice location

210 E 2ND St
Lumberton, NC 28358-5620

Mailing address

210 E 2ND St
Lumberton, NC 28358-5620
Phone (910) 735-2899

National Provider Directory

National Provider Directory

Locations

210 E 2nd St
Lumberton, NC 28358
Phone (910) 374-7035

NPI Registry JSON

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

{
    "created_epoch": "1262131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262131200000",
    "number": "1053641829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 2ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585620",
            "telephone_number": "910-735-2899",
            "fax_number": "910-735-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 2ND ST",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283585620",
            "telephone_number": "910-735-2988",
            "fax_number": "910-735-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPUS CHRISTI MH DD SAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-30",
        "last_updated": "2009-12-30",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-735-2988",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "MHL078241",
            "primary": true
        }
    ],
    "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 Dec 30, 2009; 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.