Eastern County Community Health Services, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

EASTERN COUNTY COMMUNITY HEALTH SERVICES, LLC

Practice address

120 N. Franklin Street Unit I, Suite 100
Rocky Mount, NC 27804

Phone

(252) 908-0313

Fax

(252) 937-7157

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teranda Michelle Knight

Title

Owner

Phone

(252) 908-0313

Specialties & licenses 2

Addresses

Other names 1

• ECC Health Services, LLC Other name

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1316129612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2581",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27802",
            "telephone_number": "252-908-0313",
            "fax_number": "252-937-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N. FRANKLIN STREET UNIT I, SUITE 100",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "27804",
            "telephone_number": "252-908-0313",
            "fax_number": "252-937-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN COUNTY COMMUNITY HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "TERANDA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-908-0313",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECC Health Services, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Adolescent and Children Mental Health Clinic/Center in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.