LUMBERTON TREATMENT CENTER LLC
NPI 1548633555
Community/Behavioral Health in Lumberton, NC

Active since November 12, 2015CLIA 34D2089894 · Waiver
2200 CLYBORN CHURCH RD, LUMBERTON, NC 28360(910) 739-9160(910) 739-9155 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 16, 2016, Nov 12, 2015 (2 updates tracked since 2015).

  • Organization
  • Community/Behavioral Health
  • CLIA Number: 34D2089894
  • CLIA Cert. Type: Other - OUTPATIENT OPIUM CENTER
  • CLIA Exp. Date: 01-11-2027

About LUMBERTON TREATMENT CENTER LLC

This page provides the complete NPI Profile along with additional information for Lumberton Treatment Center Llc, a provider established in Lumberton, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1548633555 assigned on November 2015. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated February 2026. The authorized official of this NPI record is Mrs. Macy Hamm J.d. (Ceo)

NPI
1548633555 Verify this NPI
Provider Name
LUMBERTON TREATMENT CENTER LLC
Entity Type
Organization
Location Address
2200 CLYBORN CHURCH RD LUMBERTON, NC 28360
Location Phone
(910) 739-9160
Location Fax
(910) 739-9155
Mailing Address
1112 SILVER OAKS CT RALEIGH, NC 27614
Mailing Phone
(919) 656-1633
Mailing Fax
(919) 706-5158
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-12-2015
Last Update Date
02-09-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MACY HAMM J.D.

Authorized Official Title
CEO
Authorized Official Phone
(919) 656-1633

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
34D2089894
Facility Type
Other - OUTPATIENT OPIUM CENTER
Certificate Effective Date
January 12, 2025
Certificate Expiration Date
January 11, 2027
Laboratory Director
SKIPPER MARY
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lumberton Treatment Center Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LUMBERTON TREATMENT CENTER LLC

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Family Medicine (Addiction Medicine)
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Counselor (Addiction (Substance Use Disorder))
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Counselor (Addiction (Substance Use Disorder))
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Social Worker (Clinical)
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Counselor (Addiction (Substance Use Disorder))
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Social Worker (Clinical)
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Social Worker (Clinical)
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360
Counselor (Addiction (Substance Use Disorder))
2200 CLYBORN CHURCH RD
LUMBERTON, NC 28360

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548633555, enumerated as an "organization" on November 12, 2015.

The provider is located at 2200 CLYBORN CHURCH RD LUMBERTON, NC 28360 and the phone number is (910) 739-9160.

Community/Behavioral Health with taxonomy code 251S00000X.