Organization Active NPI

Seasons Change, PLLC

  • Community/Behavioral Health Agency
  • Lillington, NC
National Provider Identifier
1700937190
Registry record updated Oct 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1645 Issued in NC
Legal business name
SEASONS CHANGE, PLLC
Practice address
207 W Front St
Lillington, NC 27546-5821
Phone
(910) 814-8009
NPI assigned
Jan 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2015

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

Authorized official

Name
Mrs. Shauna Kay Moore, MS, LMFTNPI 1033440219
Title
Owner, Member
Phone
(317) 902-8471

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1645 NC Primary

Addresses

Primary practice location

207 W Front St
Lillington, NC 27546-5821

Mailing address

3205 US 421 N
Lillington, NC 27546-7428
Phone (317) 902-8471

Other names 1

  • Shauna Kay Moore Other name

National Provider Directory

National Provider Directory

Locations

3205 US 421 N
Lillington, NC 27546
Phone (317) 902-8471

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444521600000",
    "number": "1700937190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 US 421 N",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275467428",
            "telephone_number": "317-902-8471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W FRONT ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275465821",
            "telephone_number": "910-814-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASONS CHANGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2015-10-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER, MEMBER",
        "authorized_official_telephone_number": "317-902-8471",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shauna Kay Moore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lillington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2015; 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.