Organization Active NPI

Cambridge Behavioral Health Services PLLC

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1831134477
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C001908 Issued in NC
Legal business name
CAMBRIDGE BEHAVIORAL HEALTH SERVICES PLLC
Practice address
622 S Memorial Drive
Greenville, NC 27834
Phone
(252) 353-4250
Fax
(252) 353-4228
NPI assigned
Jun 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Mrs. Hattie Faye Bordeaux, M ED LCSW
Title
Clinical Director
Phone
(252) 353-4250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X C001908 NC Primary

Addresses

Primary practice location

622 S Memorial Drive
Greenville, NC 27834

Mailing address

622 S Memorial Drive
Greenville, NC 27834
Phone (252) 353-4250

National Provider Directory

National Provider Directory

Locations

622 S Memorial Dr
Greenville, NC 27834
Phone (252) 353-4250

132 N Englewood Dr
Rocky Mount, NC 27804
Phone (252) 353-4250

NPI Registry JSON

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1831134477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 S MEMORIAL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-353-4250",
            "fax_number": "252-353-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622 S MEMORIAL DRIVE",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "27834",
            "telephone_number": "252-353-4250",
            "fax_number": "252-353-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMBRIDGE BEHAVIORAL HEALTH SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "BORDEAUX",
        "authorized_official_first_name": "HATTIE",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "252-353-4250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M ED LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2008; 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.