Pathfinders of Coastal Carolina, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PATHFINDERS OF COASTAL CAROLINA, INC.

Practice address

301 Roanoke Ave
Plymouth, NC 27962-1521

Phone

(252) 793-3057

Fax

(252) 793-3148

NPI assigned

Sep 4, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Craig Evan Wilkins

Title

Chief Executive Officer/ Owner

Phone

(410) 251-2311

Specialties & licenses 1

Addresses

Tax ID family

Pathfinders of Coastal Carolina Inc2 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.

• Pathfinders of Coastal Carolina, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Plymouth, NC
  • NPI 1407000706
  NPD tax ID

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

{
    "created_epoch": "1252022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1831422005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "ROPER",
            "state": "NC",
            "postal_code": "279700097",
            "telephone_number": "252-793-3057",
            "fax_number": "252-793-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ROANOKE AVE",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279621521",
            "telephone_number": "252-793-3057",
            "fax_number": "252-793-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHFINDERS OF COASTAL CAROLINA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-04",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "EVAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/ OWNER",
        "authorized_official_telephone_number": "410-251-2311",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oneals of Plymouth Inc
• Sarah Mayfield Overholt, RD, LDN
• Jean Louis Pare, MD
• Partners in Care LLC
• Pathfinders of Coastal Carolina, Inc.
• April Tedder Pearson, LPN
• Shirley Pelletier, R.D.
• Joy L Perry, LPA
• Emilou Gray Phelps, CFTS
• Melissa Pledger, RPH

• Community/Behavioral Health Agency in Plymouth, NC
• Providers in Plymouth, 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 Sep 4, 2009; 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.