Provider Demographics
NPI:1932269792
Name:NURSES PLUS BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:NURSES PLUS BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:N
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-743-2438
Mailing Address - Street 1:PO BOX 775
Mailing Address - Street 2:
Mailing Address - City:MAYSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28555-0775
Mailing Address - Country:US
Mailing Address - Phone:910-743-2438
Mailing Address - Fax:910-743-2438
Practice Address - Street 1:378 CATFISH LAKE RD.
Practice Address - Street 2:
Practice Address - City:MAYSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28555-0775
Practice Address - Country:US
Practice Address - Phone:910-743-2438
Practice Address - Fax:910-743-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3409693Medicaid