Immanuel Youth Services, LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMMANUEL YOUTH SERVICES, LLC.

Practice address

2939 Laurel Ridge LN
Kinston, NC 28504-9225

Phone

(252) 527-6178

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Renee Miller, RN

Title

VP of Program Services

Phone

(252) 527-6178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083832141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 LAUREL RIDGE LN",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285049225",
            "telephone_number": "252-527-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 LAUREL RIDGE LN",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285049225",
            "telephone_number": "252-527-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMANUEL YOUTH SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "VP OF PROGRAM SERVICES",
        "authorized_official_telephone_number": "252-527-6178",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Allen Huberman, M.D.
• Richard Martin Hughes, MD
• Arthur S Hunsinger, CRNA
• Danielle Hunt, PA-C
• Dawn J Hunter, LPC, NBCC
• Komal Imtiaz
• In US You Trust Home Care Inc
• Charles C Ingle, PT
• Innovative Services
• Integrity Care, LLC

• Community/Behavioral Health Agency in Kinston, NC
• Providers in Kinston, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.