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PRODIGIOUS HEALTH SERVICES, LLC
NPI 1093017931
Community/Behavioral Health in Warrenton, NC

Active since November 29, 2010
108 S BRAGG ST, WARRENTON, NC 27589(252) 257-6500(252) 257-6700 Get Directions Write a Review

NPPES record last updated: November 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prodigious Health Services, Llc NPPES

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

PRODIGIOUS HEALTH SERVICES, LLC (NPI 1093017931) is a healthcare organization registered as a community/behavioral health in Warrenton, North Carolina and active in the NPI registry since November 2010. The organization lists Bobby Faison, President, as its authorized official.

NPPES Registry Identity

NPI1093017931
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePRODIGIOUS HEALTH SERVICES, LLC
Location Address108 S BRAGG STWarrenton, NC 27589-2048
Mailing Address108 South Bragg StreetWarrenton, NC 27589-2048 · (252) 433-0300 · Fax (252) 433-8054
Phone(252) 257-6500
Fax(252) 257-6700
Organization SubpartNo
Authorized OfficialBobby FaisonPresident · (252) 433-0300
Enumeration DateNovember 29, 2010
✔ NPI 1093017931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · 101Y00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
108 S BRAGG ST, Warrenton, NC 27589
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Other Providers at the Same Location NPPES 9

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

MAENA SIMMONS LPN
Licensed Practical Nurse
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (828) 655-2939
ANGELA YOUNG LCSWA
Counselor
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (801) 755-2717
GOLDEN FOOTPRINT LLC
Case Management
108 S BRAGG ST, SUITE 6
WARRENTON, NC 27589
Warren County (919) 271-8146
PRODIGIOUS HEALTH SERVICES, LLC
Counselor
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (252) 257-6500
STRATEGIC INTERVENTIONS, LLC
Community/Behavioral Health
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (828) 659-3418
DELPHINA CHARLES LCSW-A
Counselor (Mental Health)
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (828) 655-2939
WINNIE MAKUMIRE RN
Registered Nurse
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (828) 655-3231
MARHESHA MELISSA COLEMAN
Counselor (Mental Health)
108 S BRAGG ST
WARRENTON, NC 27589
Warren County (828) 655-2939

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 Prodigious Health Services, LLC's NPI number?

The NPI number for Prodigious Health Services, LLC is 1093017931. It was assigned to this organization in the NPPES registry on November 29, 2010.

Where is Prodigious Health Services, LLC located?

Prodigious Health Services, LLC is located at 108 S Bragg St, Warrenton, NC 27589. The listed phone number is (252) 257-6500.

What is Prodigious Health Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Prodigious Health Services, LLC was last updated on November 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.