Missions Unlimited, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-009-030 Issued in NC

Legal business name

MISSIONS UNLIMITED, LLC

Practice address

2950 W Broad St
Elizabethtown, NC 28337-7137

Phone

(910) 862-6264

Fax

(910) 862-6268

NPI assigned

Feb 27, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Cedrina Beletha Mathis, B.S., Q.P.

Title

Ceo/Program Director

Phone

(910) 616-6979

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1366682593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151",
            "city": "COUNCIL",
            "state": "NC",
            "postal_code": "284340151",
            "telephone_number": "910-862-6264",
            "fax_number": "910-862-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 W BROAD ST",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283377137",
            "telephone_number": "910-862-6264",
            "fax_number": "910-862-6268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONS UNLIMITED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "CEDRINA",
        "authorized_official_middle_name": "BELETHA",
        "authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-616-6979",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S., Q.P."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-009-030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Elizabethtown, NC
• Providers in Elizabethtown, 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 Feb 27, 2009; 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.