Hawthorne Services Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL096148 Issued in NC

Legal business name

HAWTHORNE SERVICES INCORPORATED

Practice address

1510 S Slocumb St
Goldsboro, NC 27530-6955

Phone

(919) 735-2158

Fax

(919) 288-3644

NPI assigned

Jan 14, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Lucinda Whitley

Title

Adminitrator

Phone

(919) 735-2158

Specialties & licenses 2

Addresses

Other identifiers 3

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275684664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 STEPHENS ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306756",
            "telephone_number": "919-735-2158",
            "fax_number": "919-288-3644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S SLOCUMB ST",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275306955",
            "telephone_number": "919-735-2158",
            "fax_number": "919-288-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE SERVICES INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "LUCINDA",
        "authorized_official_title_or_position": "ADMINITRATOR",
        "authorized_official_telephone_number": "919-735-2158",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL096119",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL096148",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408681",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804703",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301062B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Callie Harwell, PHARMD
• Leslie A Hatch, LPA
• John Haverkamp, MD
• Lauren M Hawkins, PHARMD
• Sherman M Hawkins Jr., M.D.
• Tempie A. Hayes, L.P.A.
• Tommel Hayes, LCSW-P
• Diamond Lynette' Haywood, LCSWA
• Michael Headen
• Healing Well Counseling Services, PLLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility 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.