Organization Active NPI

Southern Support Behavioral Health Care LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Franklin, VA
National Provider Identifier
1770431348
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC
Practice address
300 N Main St Ste 205
Franklin, VA 23851-1700
Phone
(252) 642-5345
Fax
(877) 225-6011
NPI assigned
Mar 19, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Authorized official

Name
Vickie Persaud
Title
Owner
Phone
(252) 642-5345

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

300 N Main St Ste 205
Franklin, VA 23851-1700

Mailing address

PO Box 134
Colerain, NC 27924-0134
Phone (252) 642-5345

National Provider Directory

National Provider Directory
Tax ID family
Southern Support Behavioral Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 N Main St
Ste 205
Franklin, VA 23851
Phone (252) 642-5345

NPI Registry JSON

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

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773878400000",
    "number": "1770431348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 134",
            "city": "COLERAIN",
            "state": "NC",
            "postal_code": "279240134",
            "telephone_number": "252-642-5345",
            "fax_number": "877-225-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N MAIN ST STE 205",
            "city": "FRANKLIN",
            "state": "VA",
            "postal_code": "238511700",
            "telephone_number": "252-642-5345",
            "fax_number": "877-225-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN SUPPORT BEHAVIORAL HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A",
        "authorized_official_last_name": "PERSAUD",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-642-5345"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.