NPIMap

Organization Active NPI

Evergreen Behavorial Health

  • Community/Behavioral Health Agency
  • Lumberton, NC
National Provider Identifier
1114115342
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C005843 Issued in NC
Legal business name
EVERGREEN BEHAVORIAL HEALTH
Practice address
220 Wintergreen Dr
Lumberton, NC 28358-2188
Phone
(910) 738-9420
Fax
(910) 671-9414
NPI assigned
Oct 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Ms. Margaret Wolstenholme
Title
LCSW
Phone
(910) 738-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C005843 NC Primary

Addresses

Primary practice location

220 Wintergreen Dr
Lumberton, NC 28358-2188

Mailing address

220 Wintergreen Dr
Lumberton, NC 28358-2188
Phone (910) 738-9420

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Behavioral Mana14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

Locations

220 Wintergreen Dr
Lumberton, NC 28358
Phone (910) 738-5550

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1114115342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WINTERGREEN DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582188",
            "telephone_number": "910-738-9420",
            "fax_number": "910-671-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WINTERGREEN DR",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582188",
            "telephone_number": "910-738-9420",
            "fax_number": "910-671-9414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN BEHAVORIAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "WOLSTENHOLME",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "910-738-9420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005843",
            "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 6, 2007; 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.