Enfold BH, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ENFOLD BH, LLC

Practice address

555 Fayetteville St Ste Office50
Raleigh, NC 27601-3030

Phone

(954) 254-6773

NPI assigned

Apr 20, 2020

Organization subpart

No

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

Authorized official

Name

Sandra Zervoudakis, LMHCNPI 1134325269

Title

Clinical Operations

Phone

(954) 254-6773

Specialties & licenses 2

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra Milena Zervoudakis, LMHC

  • Mental Health Counselor
  • Hollywood, FL
  • NPI 1134325269
  NPD Authorized official

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

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1316567316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 968",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275120968",
            "telephone_number": "954-254-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FAYETTEVILLE ST STE OFFICE50",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013030",
            "telephone_number": "954-254-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENFOLD BH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "ZERVOUDAKIS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "954-254-6773",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra@enfoldbh.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "555 Fayetteville St Ste Office50",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276013030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sandra@enfold.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "555 Fayetteville St Ste Office50",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276013030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christopher J Emrick, ATC
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• Debra Leigh Eng, LCSW
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• Erich Anton Engel, PHARM.D.
• Jeffrey Engel, MD
• John Joseph Engemann, MD

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.