Active NPI
Lifequest, Inc.
- Adult Mental Health Clinic/Center
- Washington, NC
National Provider Identifier
1760548671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- MHL-007-038
- Legal business name
- LIFEQUEST, INC.
- Practice address
- 230 E 8TH St
Washington, NC 27889-4526 - Phone
- (252) 975-8080
- Fax
- (252) 975-8055
- NPI assigned
- Dec 28, 2006
- Last updated
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Angela C Hardison
- Title
- Director
- Phone
- (252) 975-8080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | MHL-007-038 | NC | Primary |
Addresses
Primary practice location
230 E 8TH St
Washington, NC 27889-4526
Mailing address
230 E 8TH St
Washington, NC 27889-4526
Phone (252) 975-8080
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300757 | Medicaid | NC | |
| 8300757S | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
230 E 8th St
Washington, NC 27889
Phone (252) 975-8080
Practitioners & affiliated clinicians
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.
-
- Professional Counselor
- New Bern, NC
- NPI 1538680335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1760548671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 E 8TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894526",
"telephone_number": "252-975-8080",
"fax_number": "252-975-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 E 8TH ST",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278894526",
"telephone_number": "252-975-8080",
"fax_number": "252-975-8055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFEQUEST, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-28",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "HARDISON",
"authorized_official_first_name": "ANGELA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "252-975-8080",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "NC",
"license": "MHL-007-038",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300757",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300757S",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.