Easter Seals, Ucp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EASTER SEALS, UCP

Practice address

600 Lynndale CT Ste F
Greenville, NC 27858-5443

Phone

(252) 353-8001

Fax

(252) 353-5559

NPI assigned

Sep 12, 2015

Last updated

Sep 12, 2015By 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

Tara Sandrea King, MSW, LCASA

Title

MST Therapist

Phone

(252) 353-8001

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1740658327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 LYNNDALE CT STE F",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585443",
            "telephone_number": "252-353-8001",
            "fax_number": "252-353-5559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 LYNNDALE CT STE F",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585443",
            "telephone_number": "252-353-8001",
            "fax_number": "252-353-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS, UCP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "SANDREA",
        "authorized_official_title_or_position": "MST THERAPIST",
        "authorized_official_telephone_number": "252-353-8001",
        "authorized_official_credential": "MSW, LCASA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp North Carolina & Virginia, Inc.
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• Community/Behavioral Health Agency in Greenville, NC
• Providers in Greenville, 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 Sep 12, 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.