Omni Behavioral Services
Counselor, Addiction (Substance Use Disorder) in Elizabethtown, NC. Organization (NPI-2).
NPI number1083257562
StatusActive
Last updated in NPPESOct 28, 2019
Details
- NPI
- 1083257562
- Entity type
- Organization (NPI-2)
- Legal business name
- Omni Behavioral Services
- Organization subpart
- No
- Enumeration date
- Oct 28, 2019
- Last updated
- Oct 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Other names
- Omni Behavioral Services (Doing Business As)
Practice location
209 Martin Luther King Jr. Dr.Elizabethtown, NC 28337-2833
Phone 910-247-6822 · Fax 910-247-6829
Mailing address
209 Martin Luther King Jr. Dr.Elizabethtown, NC 28352
Phone 910-247-6822 · Fax 910-247-6829
Authorized official
John A Jackson
Senior Administrator
9102476822
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Addiction (Substance Use Disorder) Counselor providers in Elizabethtown, NC
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.