Active NPI
Fortis Behavioral Health
- Psychiatric/Mental Health Nurse Practitioner
- Lumberton, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- FORTIS BEHAVIORAL HEALTH
- Practice address
- 4904 Fayetteville Rd
Lumberton, NC 28358-2355 - Phone
- (910) 536-1719
- Fax
- (910) 668-8048
- NPI assigned
- Oct 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deana Holland Flynn, PMHNP-BC
- Title
- Owner
- Phone
- (910) 536-1719
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Registered Dietitian | 133V00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4904 Fayetteville Rd
Lumberton, NC 28358-2355
Mailing address
4904 Fayetteville Rd Ste a
Lumberton, NC 28358-2146
Phone (910) 536-1719
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
220 Wintergreen Dr
Ste B
Lumberton, NC 28358
Phone (910) 536-1719
4904 Fayetteville Rd
Lumberton, NC 28358
Phone (910) 536-1719
4904 Fayetteville Rd
Ste A
Lumberton, NC 28358
Phone (910) 536-1719
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lumberton, NC
- NPI 1356080683
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764460800000",
"number": "1407571599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4904 FAYETTEVILLE RD STE A",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582146",
"telephone_number": "910-536-1719",
"fax_number": "910-668-8048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4904 FAYETTEVILLE RD",
"city": "LUMBERTON",
"state": "NC",
"postal_code": "283582355",
"telephone_number": "910-536-1719",
"fax_number": "910-668-8048"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORTIS BEHAVIORAL HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-11",
"last_updated": "2025-11-30",
"certification_date": "2025-11-30",
"status": "A",
"authorized_official_last_name": "FLYNN",
"authorized_official_first_name": "DEANA",
"authorized_official_middle_name": "HOLLAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-536-1719",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NC
- Samuel Florian Fongue Fongue, MD
- Foot and Ankle Institute of Robeson County
- Austin John Fordham, MD
- Thomas Raleigh Forrest Jr., DC
- Fortis Behavioral Group PLLC
- Peter Thomas Fortkort, MD
- Katharine Nicole Foster, DNP, APRN, FNP, ENP
- Fountain6 Investment Company LLC
- Dora R Franzoni, M.D.
- Melinda Quinn Frederick, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.