Organization · Type 2 NPI

Port Health Services

Counselor · Greenville, NC

NPI number 1497075618 Active

Practice location

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Fax (252) 413-0932

Specialties and licenses

Taxonomy	Code	License
Counselor Primary	101Y00000X	None listed
Addiction (Substance Use Disorder) Counselor	101YA0400X	None listed
Community/Behavioral Health Agency	251S00000X	None listed
Comprehensive Outpatient Rehabilitation Facility (CORF)	261QR0401X	None listed
Substance Abuse Rehabilitation Facility	324500000X	None listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

3 other providers at this address

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NPI record

NPI: 1497075618
Entity type: Organization (Type 2)
Issued: Jun 10, 2010
Last updated: May 24, 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 1497075618

Port Health Services's National Provider Identifier is 1497075618, issued on Jun 10, 2010. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Greenville, NC. The record was last updated on May 24, 2023.