Berachah Ministry

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

888465 Issued in NC

Legal business name

BERACHAH MINISTRY

Practice address

1709 Evans St
Suite E
Greenville, NC 27834-5772

Phone

(252) 317-2006

Fax

(252) 294-1137

NPI assigned

Feb 12, 2011

Organization subpart

No

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

Authorized official

Name

Yolanda Bullock-Blount

Title

Owner

Phone

(252) 317-2006

Specialties & licenses 1

Addresses

Other names 1

• ENRICHED HEALTH SERVICES Doing business as

Locations

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

{
    "created_epoch": "1297468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297641600000",
    "number": "1770880676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 EVANS ST",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 EVANS ST",
            "address_2": "SUITE E",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345772",
            "telephone_number": "252-317-2006",
            "fax_number": "252-294-1137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERACHAH MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-12",
        "last_updated": "2011-02-14",
        "status": "A",
        "authorized_official_last_name": "BULLOCK-BLOUNT",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-317-2006"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "888465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENRICHED HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas H Benson, MD
• Steven Preston Benson, PA-C
• Bent But Not Broken Therapy and Wellness PLLC
• Martina Teresa Benton, RRT
• Melba Benton, LPN
• Emily Berger
• Colin Bergeson, LCSW
• Michelle Louise Berghold
• Victoria Bramble Bergstedt, NNP
• Lawrence M Berman, MD

• 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 Feb 14, 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.