Organization Active NPI

Southeastern Treatment Services, LLC.

  • Community/Behavioral Health Agency
  • Maxton, NC
National Provider Identifier
1073753463
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MHL-078-220 Issued in NC
Legal business name
SOUTHEASTERN TREATMENT SERVICES, LLC.
Practice address
109 W Central St
Maxton, NC 28364-1703
Phone
(910) 844-3233
Fax
(910) 844-3241
NPI assigned
Feb 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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

Authorized official

Name
Ms. Trina Kay Locklear
Title
Ceo/President
Phone
(910) 258-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MHL-078-220 NC Primary

Addresses

Primary practice location

109 W Central St
Maxton, NC 28364-1703

Mailing address

PO Box 1584
Hamlet, NC 28345-1584
Phone (910) 844-3233

Other names 1

  • IALAC Center Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1235520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235520000000",
    "number": "1073753463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1584",
            "city": "HAMLET",
            "state": "NC",
            "postal_code": "283451584",
            "telephone_number": "910-844-3233",
            "fax_number": "910-844-3241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W CENTRAL ST",
            "city": "MAXTON",
            "state": "NC",
            "postal_code": "283641703",
            "telephone_number": "910-844-3233",
            "fax_number": "910-844-3241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN TREATMENT SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "TRINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "910-258-2541",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-078-220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IALAC Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maxton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.