Selah Mental Health Services

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

MHL078109 Issued in NC

Legal business name

SELAH MENTAL HEALTH SERVICES

Practice address

3508 Cliffridge Dr
Lumberton, NC 28358-3292

Phone

(910) 671-9070

Fax

(910) 862-6121

NPI assigned

Sep 10, 2009

Organization subpart

Yes

Parent organization

VEREEN AND ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Ms. Twyla Vereen, BA

Title

Executive Director

Phone

(910) 862-2484

Specialties & licenses 2

Addresses

Part of

Selah Mental Health Services

Locations

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252540800000",
    "number": "1073846911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 TWISTED HICKORY RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283375216",
            "telephone_number": "910-862-2484",
            "fax_number": "910-862-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 CLIFFRIDGE DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283583292",
            "telephone_number": "910-671-9070",
            "fax_number": "910-862-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH MENTAL HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VEREEN AND ASSOCIATES",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A",
        "authorized_official_last_name": "VEREEN",
        "authorized_official_first_name": "TWYLA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-862-2484",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL078109",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL009025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Schroder, D.O
• Allison Lynne Scott, FNP-C
• Emily Suzanne Scott, LMBT
• Courtney Bracey Sealey, M.S. CCC-SLP
• Heather Eugenia Sealey, PTA
• Elizabeth Sessions, MS, CCC-SLP
• Graceanna E Sessions
• Courtney Shaddock
• Barun Kumar Shah, MD
• Alok Kumar Sharda, DDS

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.