Chaparral Youth Services

Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Maxton, NC

NPI 1306908009 · NPPES record last updated Aug 13, 2026

Key facts

NPI
1306908009
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
Legal business name
CHAPARRAL YOUTH SERVICES
Practice address
5973 McLeod Dr
Maxton, NC 28364-7211
Phone
(910) 827-1169
Fax
(910) 593-3577
NPI assigned
Dec 16, 2006
Organization subpart
Yes
Parent organization (as reported)
SHEREE L. SAMPSON

Authorized official

Name
Sheree L Sampson
Title
LSW/Owner
Phone
(910) 827-1169

Corporate family (same tax ID) 4

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

National Provider Directory

Tax ID family
Chaparral Youth Services II (5 organizations share this tax ID)
Part of
Chaparral Youth Services II

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YM0800X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL078170 NC
Psychiatric/Mental Health Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP0808X Yes

Addresses

Primary practice location

5973 McLeod Dr
Maxton, NC 28364-7211

Mailing address

16 Stanley St
Pembroke, NC 28372-8540
Phone (910) 827-1169

Other practice location 1

812 Candy Park Rd Ste 7101A
Pembroke, NC 28372-9121
Phone (910) 775-9076

Other practice location 2

4850 Fayetteville Rd Ste C
Lumberton, NC 28358-2100
Phone (910) 827-1169

Other names

  • Chaparral Youth Services Doing business as

Other providers in Maxton, NC

All providers in Maxton, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.