Organization · Type 2 NPI

Port Health Services

Community/Behavioral Health Agency · Greenville, NC

NPI number 1194874925 Active

Practice location

501 Paladin Dr
Greenville, NC 27834-7826

Call (252) 353-5346 Map

Fax (252) 321-7300

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Specialties and licenses

Taxonomy	Code	License
Addiction (Substance Use Disorder) Counselor	101YA0400X	MHL-074-146 (NC)
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

12 other providers at this address

Other community/behavioral health agency providers in Greenville

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NPI record

NPI: 1194874925
Entity type: Organization (Type 2)
Issued: Jan 10, 2007
Last updated: May 15, 2023
Status: Active

Other names

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Port Human Services · former legal business name
Port Human Services · former legal business name

Authorized official

Brett Beavers
Credentialing Manager
(919) 210-7661

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194874925

Port Health Services's National Provider Identifier is 1194874925, issued on Jan 10, 2007. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Greenville, NC. The record was last updated on May 15, 2023.