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OMNI BEHAVIORAL SERVICES
NPI 1083257562
Counselor - Addiction (Substance Use Disorder) in Elizabethtown, NC

Active since October 28, 2019
209 MARTIN LUTHER KING JR. DR., ELIZABETHTOWN, NC 28337(910) 247-6822(910) 247-6829 Get Directions Write a Review

NPPES record last updated: October 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omni Behavioral Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMNI BEHAVIORAL SERVICES (NPI 1083257562) is a healthcare organization registered as an addiction (substance use disorder) in Elizabethtown, North Carolina and active in the NPI registry since October 2019. The organization lists John A Jackson, Senior Administrator, as its authorized official.

NPPES Registry Identity

NPI1083257562
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameOMNI BEHAVIORAL SERVICES
Location Address209 MARTIN LUTHER KING JR. DR.Elizabethtown, NC 28337-2833
Mailing Address209 Martin Luther King Jr. Dr.Elizabethtown, NC 28352 · (910) 247-6822 · Fax (910) 247-6829
Phone(910) 247-6822
Fax(910) 247-6829
Organization SubpartNo
Authorized OfficialJohn A JacksonSenior Administrator · (910) 247-6822
Enumeration DateOctober 28, 2019
✔ NPI 1083257562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
209 MARTIN LUTHER KING JR. DR., Elizabethtown, NC 28337
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Other Names 1

Doing Business AsOmni Behavioral Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TARA L GOVAN LCAS 1917
Counselor (Addiction (Substance Use Disorder))
209 MARTIN LUTHER KING JR. DR.
ELIZABETHTOWN, NC 28337
Bladen County (910) 247-6822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Omni Behavioral Services's NPI number?

The NPI number for Omni Behavioral Services is 1083257562. It was assigned to this organization in the NPPES registry on October 28, 2019.

Where is Omni Behavioral Services located?

Omni Behavioral Services is located at 209 Martin Luther King Jr. Dr., Elizabethtown, NC 28337. The listed phone number is (910) 247-6822.

What is Omni Behavioral Services's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Omni Behavioral Services was last updated on October 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.