Healthcare Provider Details

I. General information

NPI: 1427159078
Provider Name (Legal Business Name): BRITE SMILZ FAMILY & COMMUNITY CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1165 GREGORY DR
ROANOKE RAPIDS NC
27870
US

IV. Provider business mailing address

PO BOX 86 1165 GREGORY DR
ROANOKE RAPIDS NC
27870
US

V. Phone/Fax

Practice location:
  • Phone: 252-537-7575
  • Fax: 252-537-9008
Mailing address:
  • Phone: 252-537-7575
  • Fax: 252-537-9008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNC
# 6
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. EVELYN S DAWSON
Title or Position: DIRECTOR
Credential: CSW
Phone: 252-537-7575