| Southeastern Behavioral Healthcare Services | |
|
3581 Lackey St Lumberton NC 28360-9048 | |
| (910) 738-1587 | |
| (910) 738-1581 |
| Full Name | Southeastern Behavioral Healthcare Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3581 Lackey St, Lumberton, North Carolina |
| Authorized Official Name and Position | Virgil L Hutchinson (CEO) |
| Authorized Official Contact | 9107381587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Behavioral Healthcare Services Po Box 1004 Lumberton NC 28359-1004 Ph: (910) 738-1587 | Southeastern Behavioral Healthcare Services 3581 Lackey St Lumberton NC 28360-9048 Ph: (910) 738-1587 |
| NPI Number | 1932304714 |
|---|---|
| Provider Enumeration Date | 06/20/2007 |
| Last Update Date | 06/25/2012 |
| Medicare PECOS PAC ID | 1052564473 |
|---|---|
| Medicare Enrollment ID | O20130116000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932304714 | NPI | - | NPPES |
| 8300842R | Medicaid | NC | |
| 8300842H | Medicaid | NC | |
| 8300842B | Medicaid | NC | |
| 8300842 | Medicaid | NC | |
| 5909213 | Medicaid | NC | |
| 6005229 | Medicaid | NC | |
| 8702171 | Medicaid | NC | |
| 3408093 | Medicaid | NC | |
| 8300842G | Medicaid | NC | |
| 8300842S | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C00269 (North Carolina) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | John D Mcallister |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184689382 PECOS PAC ID: 8729039722 Enrollment ID: I20050208000183 |
| Provider Name | Darryl X Mcallister |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720277767 PECOS PAC ID: 5597784603 Enrollment ID: I20051117000905 |
| Provider Name | Courtney N Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043724156 PECOS PAC ID: 4688000524 Enrollment ID: I20200212001758 |
Tri-county Behavioral Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 608 E 7th St, Lumberton, NC 28358 Phone: 910-918-7357 Fax: 910-422-8575 | |
Southeastern Regional Actt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 514 E 21st St, Lumberton, NC 28358 Phone: 910-272-0144 | |
Southeastern Regional Mental Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 W 27th St, Lumberton, NC 28358 Phone: 910-272-1230 Fax: 910-738-8230 | |
Cases Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E 11th St, Lumberton, NC 28358 Phone: 910-272-0161 Fax: 910-424-8300 | |
Community Innovations, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2003 Godwin Ave, Suite A, Lumberton, NC 28358 Phone: 910-739-8849 Fax: 910-739-5167 | |
Associate Behavioral Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 206 E. 7th Street, Lumberton, NC 28358 Phone: 910-735-0556 Fax: 910-735-0556 | |
Caring Touch Home & Behavioral Health Care, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1384 Linkhaw Rd, Lumberton, NC 28358 Phone: 910-737-4004 Fax: 910-737-9650 |