Active NPI
Another Chance MH-Su Services
- Community/Behavioral Health Agency
- Goldsboro, NC
National Provider Identifier
1245070242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ANOTHER CHANCE MH-SU SERVICES
- Practice address
- 109 Pinehurst LN
Goldsboro, NC 27534-8178 - Phone
- (252) 775-1786
- NPI assigned
- May 28, 2024
- Last updated
- May 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelsie Tobes, LPN
- Title
- Ceo
- Phone
- (252) 775-1786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
109 Pinehurst LN
Goldsboro, NC 27534-8178
Mailing address
109 Pinehurst LN
Goldsboro, NC 27534-8178
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1716854400000",
"number": "1245070242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PINEHURST LN",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275348178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 PINEHURST LN",
"city": "GOLDSBORO",
"state": "NC",
"postal_code": "275348178",
"telephone_number": "252-775-1786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANOTHER CHANCE MH-SU SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A",
"authorized_official_last_name": "TOBES",
"authorized_official_first_name": "CHELSIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "252-775-1786",
"authorized_official_credential": "LPN"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goldsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.