Organization Active NPI

LRB Youth Development

  • Mental Health Counselor
  • Florence, SC
National Provider Identifier
1922565399
Registry record updated Feb 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Feb 21, 2019

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.