Southern Cross

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

SOUTHERN CROSS

Practice address

4705 Southport Road SE
Suite 108
Southport, NC 28461-9074

Phone

(910) 457-6086

Fax

(910) 487-6089

NPI assigned

Nov 20, 2007

Last updated

Nov 20, 2007By 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

Mr. William Dale Hudson, OWNER

Title

Owner

Phone

(910) 653-2007

Specialties & licenses 15

Addresses

Tax ID family

Southern Cross Community Services Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Southern Cross Commuinty Services Inc

  dba Southern Cross Mental Health Centers

  • Mental Health Counselor
  • Wilmington, NC
  • NPI 1679650451
  NPD tax ID
• Southern Cross Community Service Inc.

  • Community/Behavioral Health Agency
  • Fuquay Varina, NC
  • NPI 1356540025
  NPD tax ID
• Southern Cross Community Services Inc

  dba Southern Cross Mental Health Centers

  • Community/Behavioral Health Agency
  • Whiteville, NC
  • NPI 1356543599
  NPD tax ID
• Southern Cross Community Services Inc

  dba Southern Cross Mental Health Centers

  • Community/Behavioral Health Agency
  • Fuquay Varina, NC
  • NPI 1366644510
  NPD tax ID
• Southern Cross Community Services, Inc

  dba Southern Cross Mental Health Centers

  • Community/Behavioral Health Agency
  • Wilmington, NC
  • NPI 1316062862
  NPD tax ID

Locations

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1386825180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 656",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284630656",
            "telephone_number": "910-653-2007",
            "fax_number": "910-653-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 SOUTHPORT ROAD SE",
            "address_2": "SUITE 108",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284619074",
            "telephone_number": "910-457-6086",
            "fax_number": "910-487-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CROSS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-653-2007",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Molly Ann Smyser, D.C.
• South East Access Inc
• Southport Counseling Services, PLLC
• Southport Eye Care OD PLLC
• Southport Internal Medicine PA
• Southport Pulmonary Medicine, PLLC
• Southport Surgical Associates, P.a.

• Social Worker in Southport, NC
• Providers in Southport, NC by specialty
• Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.