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Contact Information

ABUNDANT HEALTH AND HUMAN SERVICES
401 S GRIFFIN ST
SUITE 175
ELIZABETH CITY, NC27909
 Phone: 252-335-9400
 Fax: 252-335-9404
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Adolescent and Children Mental Health

261QM0855X
 

Adult Mental Health

261QM0850X
 

Case Management

251B00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for ABUNDANT HEALTH AND HUMAN SERVICES

NPI Number 1568658516
LBN Legal business name ABUNDANT HEALTH AND HUMAN SERVICES
Authorized official TONYA JOHNSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 09/23/2007
Last updated 02/24/2011 - About 15 years ago
Identifiers
NC License # 200001510
NC License # MHL-070-051
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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