PELHAM SUPPORTIVE SERVICES
NPI 1649558933
Community/Behavioral Health in St Pauls, NC

Q: What is Pelham Supportive Services's NPI number?

The NPI number for Pelham Supportive Services is 1649558933. It was assigned to this organization in the NPPES registry on August 3, 2011.

Q: What is Pelham Supportive Services's specialty?

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

Active since August 03, 2011

315 A WEST BROAD STREET, ST PAULS, NC 28384(910) 865-3358(910) 865-3358 Get Directions Write a Review

NPPES record last updated: August 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Pelham Supportive Services NPPES

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

PELHAM SUPPORTIVE SERVICES (NPI 1649558933) is a healthcare organization registered as a community/behavioral health in St Pauls, North Carolina and active in the NPI registry since August 2011. The organization lists Mildred C Wilson, President, as its authorized official.

NPPES Registry Identity

NPI1649558933

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePELHAM SUPPORTIVE SERVICES

Location Address315 A WEST BROAD STREETSt Pauls, NC 28384-1535

Mailing Address949 Country Club DrFayetteville, NC 28301-2907 · (910) 630-6757 · Fax (910) 884-9804

Phone(910) 865-3358

Fax(910) 865-3358

Organization SubpartNo

Authorized OfficialMildred C WilsonPresident · (910) 630-6757

Enumeration DateAugust 3, 2011

✔ NPI 1649558933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

License✔ Licensed in NC · MNL-078-284

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.

315 A WEST BROAD STREET, St Pauls, NC 28384

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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 Pelham Supportive Services's NPI number?

The NPI number for Pelham Supportive Services is 1649558933. It was assigned to this organization in the NPPES registry on August 3, 2011.

Where is Pelham Supportive Services located?

Pelham Supportive Services is located at 315 A West Broad Street, St Pauls, NC 28384. The listed phone number is (910) 865-3358.

What is Pelham Supportive Services'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 Pelham Supportive Services was last updated on August 3, 2011. 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.