1. Home
  2. Directory
  3. North Carolina
  4. Roxboro
  5. Counselor
  6. NPI Profile

PRODIGIOUS HEALTH SERVICES, LLC
NPI 1720389182
Counselor in Roxboro, NC

Active since November 16, 2010
210 N MAIN ST, ROXBORO, NC 27573(252) 433-0300(252) 433-8054 Get Directions Write a Review

NPPES record last updated: November 16, 2010. Verified against the NPPES registry weekly; last sync: August 02, 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 1720389182) is a healthcare organization registered as a counselor in Roxboro, North Carolina and active in the NPI registry since November 2010. The organization lists Bobby Faison, President, as its authorized official.

NPPES Registry Identity

NPI1720389182
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NamePRODIGIOUS HEALTH SERVICES, LLC
Location Address210 N MAIN STRoxboro, NC 27573-5325
Mailing AddressPo Box 2120Henderson, NC 27536-2120 · (252) 433-0300 · Fax (252) 433-8054
Phone(252) 433-0300
Fax(252) 433-8054
Organization SubpartNo
Authorized OfficialBobby FaisonPresident · (252) 433-0300
Enumeration DateNovember 16, 2010
✔ NPI 1720389182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NC · 875
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
210 N MAIN ST, Roxboro, NC 27573
Open in Google Maps ↗

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

HERBERT CLIFFORD BROWN LCSWA
Social Worker (Clinical)
210 N MAIN ST
ROXBORO, NC 27573
Person County (336) 330-8000
KEEVELA MOORE
Counselor (Mental Health)
210 N MAIN ST
ROXBORO, NC 27573
Person County (336) 647-5313
MRS. LAWANDA LEE ANDERSON MA, LPC
Counselor (Mental Health)
210 N MAIN ST
ROXBORO, NC 27573
Person County (336) 330-8000

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 1720389182. It was assigned to this organization in the NPPES registry on November 16, 2010.

Where is Prodigious Health Services, LLC located?

Prodigious Health Services, LLC is located at 210 N Main St, Roxboro, NC 27573. The listed phone number is (252) 433-0300.

What is Prodigious Health Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Prodigious Health Services, LLC was last updated on November 16, 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.