Active NPI
LRB Youth Development
- Mental Health Counselor
- Florence, SC
National Provider Identifier
1922565399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- LRB YOUTH DEVELOPMENT
- Practice address
- 3654 S Irby St
Florence, SC 29505-5225 - Phone
- (910) 987-9395
- NPI assigned
- Feb 21, 2019
- 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
- Ms. Lintrese Janea Robinson
- Title
- Owner
- Phone
- (910) 987-9395
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3654 S Irby St
Florence, SC 29505-5225
Mailing address
1537 Diamond Rd
Fayetteville, NC 28311-1895
Phone (910) 987-9395
Other practice location 1
1537 Diamond Rd
Fayetteville, NC 28311-1895
Phone (910) 987-9395
National Provider Directory
National Provider DirectoryLocations
1537 Diamond Rd
Fayetteville, NC 28311
Phone (910) 987-9395
3654 S Irby St
Florence, SC 29505
Phone (910) 987-9395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550707200000",
"number": "1922565399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1537 DIAMOND RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283111895",
"telephone_number": "910-987-9395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3654 S IRBY ST",
"city": "FLORENCE",
"state": "SC",
"postal_code": "295055225",
"telephone_number": "910-987-9395"
}
],
"practiceLocations": [
{
"address_1": "1537 Diamond Rd",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283111895",
"country_code": "US",
"telephone_number": "910-987-9395",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LRB YOUTH DEVELOPMENT",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "LINTRESE",
"authorized_official_middle_name": "JANEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "910-987-9395",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.