Elohim Counseling and Resource Center

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

Legal business name

ELOHIM COUNSELING AND RESOURCE CENTER

Doing business as

The River House

Practice address

1710 W 3Rd St
Greenville, NC 27834-1669

Phone

(252) 695-6414

NPI assigned

Oct 11, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Sheila Patricia Ingram-Cameron

Title

President

Phone

(252) 695-6414

Specialties & licenses 1

Addresses

Other names 1

• The River House Doing business as

Tax ID family

Elohim Counseling and Resource Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Elohim Counseling and Resource Center

  • Exclusive Provider Organization
  • Greenville, NC
  • NPI 1619155165
  NPD tax ID

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1790973097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 JOHNS HOPKINS DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347221",
            "telephone_number": "252-695-6414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W 3RD ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341669",
            "telephone_number": "252-695-6414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELOHIM COUNSELING AND RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "INGRAM-CAMERON",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-695-6414",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The River House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Joseph Ellis, MD
• Maurice Ellison
• Lindsay Michelle Ellson, DO
• Lana Elmore, CRT
• Elohim Counseling and Resource Center
• Tarig Ahmed Beraima Elraiyah, MD
• Jennifer Beth Emberger, M.D.
• Emerald Cove Assisted Living, LLC
• Emmanuel Residential Facility Inc
• David Alan Emmerling, EDD, LPC

• Children's Substance Abuse Rehabilitation Facility in Greenville, NC
• Providers in Greenville, NC by specialty
• Children's Substance Abuse Rehabilitation Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.

Verify at the official NPI Registry.