Organization · Type 2 NPI

Port Health Services

Community/Behavioral Health Agency · Jacksonville, NC

NPI number 1609292903 Active

Practice location

231 Memorial Dr Ste A&b
Jacksonville, NC 28546-6333

Call (910) 353-5354 Map

Fax (910) 353-5398

Mailing address

4300 Sapphire Ct Ste 110
Greenville, NC 27834-9079

Other practice locations

224 Memorial Dr Ste A, Jacksonville, NC 28546-6332 · (252) 830-7540

Specialties and licenses

Taxonomy	Code	License
Counselor	101Y00000X	None listed
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…

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NPI record

NPI: 1609292903
Entity type: Organization (Type 2)
Issued: Mar 11, 2014
Last updated: Jan 24, 2024
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 1609292903

Port Health Services's National Provider Identifier is 1609292903, issued on Mar 11, 2014. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Jacksonville, NC. The record was last updated on Jan 24, 2024.