Provider Demographics
NPI:1346725231
Name:SUSTAINED SERENITY MENTAL HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:SUSTAINED SERENITY MENTAL HEALTH SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROVIDER
Authorized Official - Prefix:MR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:MADISON
Authorized Official - Last Name:TOOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LCAS,CCS
Authorized Official - Phone:252-916-2090
Mailing Address - Street 1:PO BOX 30831
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27833-0831
Mailing Address - Country:US
Mailing Address - Phone:252-916-2090
Mailing Address - Fax:
Practice Address - Street 1:333B S POINTE DR
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9959
Practice Address - Country:US
Practice Address - Phone:252-916-2090
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty