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Statewide Mental Health & Disability Services Pllc

Community/Behavioral Health Agency in Roanoke Rapids, NC · enumerated 2011 · authorized official Kristin Clayton, Chief Executive Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1588942239

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Registry record

Entity type Organization (Type 2)
Legal business name Statewide Mental Health & Disability Services Pllc
Practice address 622 Roanoke Ave Ste A, Roanoke Rapids, NC, 27870
Phone (252) 308-1247
Enumeration date Jul 29, 2011
Last updated in NPPES Jul 17, 2017

Taxonomy & classification

251S00000X Community/Behavioral Health Agency Agencies · License COO3950 (NC) Primary

Authorized official

Name Kristin Clayton
Title Chief Executive Officer
Phone (252) 308-1247

Other identifiers

Identifier Type State Issuer
6003794 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2017-07-17. Verify at npiregistry.cms.hhs.gov.
Where is Statewide Mental Health & Disability Services Pllc located?
The practice location on file with NPPES is in Roanoke Rapids, NC.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-07-17.