Active NPI
Cambridge Behavioral Health Services PLLC
- Mental Health Counselor
- Greenville, NC
National Provider Identifier
1831134477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C001908
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.