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NPI Code Detail

MEDICARE: UNIVERSAL MENTAL HEALTH SERVICES, INC.

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
1251B00000XCase Management Agency
2363LP0808XPsychiatric/Mental Health Nurse Practitioner
31041C0700XClinical Social Worker
42084P0800XPsychiatry Physician
5363A00000XPhysician Assistant
6251C00000XDevelopmentally Disabled Services Day Training Agency
7251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1015FXOTHERNCBLUE CROSS BLUE SHIELD
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336361427
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 : 828-759-2228
Fax Number : 828-759-0159
Provider Business Practice Location Address
First Line : 839 WILKESBORO BLVD NE
Second Line :
City : LENOIR
State : NC
Zip : 28645-4612
Country : US
Telephone Number : 828-759-2228
Fax Number : 828-759-0159
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : BROOK PHILLIPS
Credential :
Telephone Number : 828-759-4064
Provider Enumeration Date : 05/02/2007
Last Update Date : 12/08/2025

Similar Medicare Providers

1407917073 — UNIVERSAL MENTAL HEALTH SERVICES, INC.
Practice Location Address:
839 WILKESBORO BLVD NE
LENOIR, NC
28645-4612
Practice Phone: 828-759-2228
Practice Fax: 828-759-0159
1649582339 — UNIVERSAL MENTAL HEALTH SERVICES, INC.
Practice Location Address:
839 WILKESBORO BLVD NE
LENOIR, NC
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Practice Fax: 828-759-0159
1164784203 — UNIVERSAL MENTAL HEALTH SERVICES, INC
Practice Location Address:
839 WILKESBORO BLVD NE
LENOIR, NC
28645-4612
Practice Phone: 828-759-2228
Practice Fax: 828-759-0159
1073955639 — GLENDAIL BASS
Practice Location Address:
839 WILKESBORO BLVD NE
LENOIR, NC
28645-4612
Practice Phone: 828-759-2228
Practice Fax:
1508208034 — PAMELA FOGLEMAN
Practice Location Address:
839 WILKESBORO BLVD NE
LENOIR, NC
28645-4612
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Practice Fax:
1518309046 — TIFFINY LAWSON
Practice Location Address:
839 WILKESBORO BLVD NE
LENOIR, NC
28645-4612
Practice Phone: 828-759-2228
Practice Fax:

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