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PROVISIONS COMMUNITY SUPPORT SERVICES, LLC
NPI 1780819003
Community/Behavioral Health in Fayetteville, NC

Active since May 17, 2009
1504 GILLESPIE ST, FAYETTEVILLE, NC 28306(910) 308-8366(910) 424-3453 Get Directions Write a Review

NPPES record last updated: July 7, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Provisions Community Support Services, Llc NPPES

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

PROVISIONS COMMUNITY SUPPORT SERVICES, LLC (NPI 1780819003) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since May 2009. The organization lists Jannetta Delois Jordan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780819003
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROVISIONS BEHAVIORAL SERVICES
Location Address1504 GILLESPIE STFayetteville, NC 28306-1846
Mailing Address1504 Gillespie StFayetteville, NC 28306-1846 · (910) 308-8366 · Fax (910) 424-3453
Phone(910) 308-8366
Fax(910) 424-3453
Organization SubpartNo
Authorized OfficialJannetta Delois JordanCeo · (910) 308-8366
Enumeration DateMay 17, 2009
Last NPPES UpdateJuly 7, 2009
✔ NPI 1780819003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
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.
1504 GILLESPIE ST, Fayetteville, NC 28306
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Other Names 1

Doing Business AsProvisions Community Support Services, Llc

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 Provisions Behavioral Services's NPI number?

The NPI number for Provisions Behavioral Services is 1780819003. It was assigned to this organization in the NPPES registry on May 17, 2009. The provider is doing business as Provisions Community Support Services, LLC.

Where is Provisions Behavioral Services located?

Provisions Behavioral Services is located at 1504 Gillespie St, Fayetteville, NC 28306. The listed phone number is (910) 308-8366.

What is Provisions Behavioral 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 Provisions Behavioral Services was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.