Miracles Supportive Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MIRACLES SUPPORTIVE SERVICES

Practice address

1305 W Howard Ave
Tarboro, NC 27886-4119

Phone

(252) 827-7577

NPI assigned

Sep 3, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Anniscia Monique Sherrod

Title

Chief Executive Officer

Phone

(252) 827-7577

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1790092211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W HOWARD AVE",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864119",
            "telephone_number": "252-827-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W HOWARD AVE",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278864119",
            "telephone_number": "252-827-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "SHERROD",
        "authorized_official_first_name": "ANNISCIA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "252-827-7577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael'S Angels House of Resilience, Inc
• Charles Middleton, M.D.
• David Charles Miller, M.D.
• Jonathan Matthew Miller, D.D.S.
• Debra Ann Milliner, APRN
• Miracles Supportive Services, LLC
• Ramesh Raj Mishra, M.D.
• Hannah Clements Mizelle, MS CCC-SLP
• James Montgomery, DPT
• Donneshia Gabrielle Moore, M.D.

• Mental Health Counselor in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.