Woodbranch Child and Family Support Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WOODBRANCH CHILD AND FAMILY SUPPORT SERVICES, INC

Practice address

821 S Main St
Laurinburg, NC 28352-4724

Phone

(910) 277-2600

Fax

(910) 277-6200

NPI assigned

Nov 6, 2007

Last updated

Apr 13, 2011By 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. Damien Edward Johnson, M.A., B.S., LPCNPI 1528382272

Title

Ceo

Phone

(843) 319-6958

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Damien Edward Johnson, LPC

  • Counselor
  • Laurinburg, NC
  • NPI 1528382272
  Authorized official Same address or phone

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

{
    "created_epoch": "1194307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302652800000",
    "number": "1669652798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 CRAIG CIR",
            "city": "BENNETTSVILLE",
            "state": "SC",
            "postal_code": "295122005",
            "telephone_number": "843-319-6958",
            "fax_number": "910-277-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S MAIN ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524724",
            "telephone_number": "910-277-2600",
            "fax_number": "910-277-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBRANCH CHILD AND FAMILY SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-06",
        "last_updated": "2011-04-13",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DAMIEN",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "843-319-6958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., B.S., LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Mack Wilson, PA-C
• Kaytline Leeann Wilt
• Ava Loretta Wishon
• Wolonick Family Practice, P.a.
• Lindsay Woodberry, PHARM D
• Summer G. Woodside, MSW, LCSW
• Tiffany Wright
• Qwenzella Wynn, LCAS-A
• Douglas Yates Yongue Jr., RPH
• Brittany York, FNP

• Community/Behavioral Health Agency in Laurinburg, NC
• Providers in Laurinburg, 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 Apr 13, 2011; 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.