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NPI Code Detail

MEDICARE: ROBESON COUNTY TEEN COURT & YOUTH SERVICES

MEDICARE: ROBESON COUNTY TEEN COURT & YOUTH SERVICES
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
1251S00000XCommunity/Behavioral Health Agency
2261QR1100XResearch Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5261QM0855XAdolescent and Children Mental Health Clinic/Center
6101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1770235657
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBESON COUNTY TEEN COURT & YOUTH SERVICES
Provider Business Mailing Address
First Line : 900 N CHESTNUT ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-4854
Country : US
Telephone Number : 910-739-3064
Fax Number :
Provider Business Practice Location Address
First Line : 900 N CHESTNUT ST
Second Line :
City : LUMBERTON
State : NC
Zip : 28358-4854
Country : US
Telephone Number : 910-739-3064
Fax Number :
Authorized Official
Title or Position : PROVIDER/OWNER
Name : PAUL SMOKOWSKI
Credential :
Telephone Number : 919-428-5716
Provider Enumeration Date : 01/22/2022
Last Update Date : 05/20/2026

Similar Medicare Providers

1649031022 — MARTICA LOURDES BACALLAO PH.D. LCSW
Practice Location Address:
900 N CHESTNUT ST
LUMBERTON, NC
28358-4854
Practice Phone: 910-739-3064
Practice Fax:
1821556564 — MRS. LISA MICHELLE IVEY MSW, LCSWA
Practice Location Address:
900 N CHESTNUT ST
LUMBERTON, NC
28358-4854
Practice Phone: 910-733-7858
Practice Fax:
1457080681 — MISS STEPHANIE ELAINE EDWARDS MSW, LCSW-A
Practice Location Address:
900 N CHESTNUT ST
LUMBERTON, NC
28358-4854
Practice Phone: 910-739-3064
Practice Fax:
1104696046 — EMILY LOCKLEAR
Practice Location Address:
900 N CHESTNUT ST
LUMBERTON, NC
28358-4854
Practice Phone: 910-739-3064
Practice Fax:
1245102755 — LESLIE CHRISTMAN
Practice Location Address:
900 N CHESTNUT ST
LUMBERTON, NC
28358-4854
Practice Phone: 910-739-3064
Practice Fax:
1760354278 — MRS. REBECCA AUTRY
Practice Location Address:
900 N CHESTNUT ST
LUMBERTON, NC
28358-4854
Practice Phone: 910-739-3064
Practice Fax:

Directions to “ROBESON COUNTY TEEN COURT & YOUTH SERVICES ” Practice Location

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