1538474291 NPI number — LECHRIS COUNSELING SERVICES, INC.

Table of content: (NPI 1538474291)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538474291 NPI number — LECHRIS COUNSELING SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LECHRIS COUNSELING SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538474291
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/11/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3332 BRIDGES ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MOREHEAD CITY
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28557-3280
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
252-726-9006
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3332 BRIDGES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOREHEAD CITY
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28557-3280
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
252-726-9006
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/18/2010

Additional Information

Authorized Official

Authorized Official Last Name:
SCHWARZ
Authorized Official First Name:
SARAH
Authorized Official Middle Name:
H.
Authorized Official Title or Position:
VP/CEO
Authorized Official Telephone Number:
252-636-6105

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  3395 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 7624 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: C002923 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X , with the licence number: 14218 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 2084P0800X , with the licence number: 97-00116 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 261QR0401X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6104324 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6107504 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300230B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6003466 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300229V , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300230H , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300274B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300274V , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302207S , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 89135V6 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300229B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302519V , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300275B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300275V , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300504B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302579H , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6104336 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300504V , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8302579B , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 8300229H , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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