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PORT HEALTH SERVICES NPI 1609292903


NPI Information

NPI: 1609292903
Provider Name: PORT HEALTH SERVICES

Former Legal Business Name: PORT HUMAN SERVICES

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
231 MEMORIAL DR STE A&B
JACKSONVILLE, NC
ZIP 28546
Phone: (910) 353-5354
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PORT HEALTH SERVICES is a community behavioral health in Jacksonville, NC. The provider is 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 support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PORT HEALTH SERVICES NPI is 1609292903. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Port Human Services.

The provider's business location address is:

231 MEMORIAL DR STE A&B
JACKSONVILLE, NC
ZIP 28546-333
Phone: (910) 353-5354
Fax: (910) 353-5398

The provider's authorized official is Brett Beavers .
The authorized official title is Credentialing Manager and has the following contact phone number (919) 210-7661.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 1/24/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
2251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.