Southeastern Services & More LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

SOUTHEASTERN SERVICES & MORE LLC

Practice address

108 Memory PLZ # B
Whiteville, NC 28472-2640

Phone

(252) 414-7154

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Skyler Baldwin

Title

Owner

Phone

(910) 625-5231

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Avis M Odom, LCSW-A

  • Clinical Social Worker
  • Whiteville, NC
  • NPI 1295070639
  NPD (past)
• Khalif Smith

  • Clinical Social Worker
  • Durham, NC
  • NPI 1467068445
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1497476386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S MADISON ST APT 3",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724670",
            "telephone_number": "252-414-7154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MEMORY PLZ # B",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284722640",
            "telephone_number": "252-414-7154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN SERVICES & MORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "BALDWIN",
        "authorized_official_first_name": "SKYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-625-5231",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Lumberton Development Association Inc
• Southeast Medical Laboratory LLC
• Southeast Occupational Therapy
• Southeastern Behavioral Healthcare
• Southeastern Regional Physician Services (Southeastern Multi-Specialty Clinic Whiteville)
• Southeastern United Care
• Southeastern United Care LLC
• Southeastern United Care, LLC
• Southeastern United Care,LLC
• Southern Cross Community Services Inc (Southern Cross Mental Health Centers)

• Multi-Specialty Clinic/Center in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.