MEDICARE: UNIVERSAL MENTAL HEALTH SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184766123
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIVERSAL MENTAL HEALTH SERVICES, INC.

Provider Business Mailing Address
First Line	:	839 WILKESBORO BLVD NE
Second Line	:
City	:	LENOIR
State	:	NC
Zip	:	28645-4612
Country	:	US
Telephone Number	:	828-759-2229
Fax Number	:	828-759-0159

Provider Business Practice Location Address
First Line	:	610 PINE TREE DR
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-4430
Country	:	US
Telephone Number	:	252-637-1226
Fax Number	:	252-637-7422

Authorized Official
Title or Position	:	VP/CONTROLLER
Name	:	JENNIFER MARIE CARROLL
Credential	:
Telephone Number	:	828-759-2228

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	08/10/2023

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