Lucille's Behavioral, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL040018 Issued in NC

Legal business name

LUCILLE'S BEHAVIORAL, INC.

Practice address

204 Hwy 58 N
Snow Hill, NC 28580-8402

Phone

(252) 574-7100

Fax

(252) 747-1001

NPI assigned

Dec 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Patricia Sauls Phillips

Title

Director

Phone

(252) 747-1001

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649348483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 HWY 58 N",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285808402",
            "telephone_number": "252-574-7100",
            "fax_number": "252-747-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 HWY 58 N",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285808402",
            "telephone_number": "252-574-7100",
            "fax_number": "252-747-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCILLE'S BEHAVIORAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "SAULS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-747-1001",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL040018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805142",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409488",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300985",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Life Links Community Intervention Agency
• Francisco Javier Limon, LMFT
• Jessica Rachel Lindauer, PA-C
• Barbara Michelle Lingle, MS CCC-SLP
• Courtenay Michele Long, DMD
• May Frances Partnership in Caring, Inc.
• Robert McArthur, DDS
• Thomas McCollum
• Christine C Miller, RNC, FNP
• Lisa Chase Miller, RN

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Snow Hill, NC
• Providers in Snow Hill, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.