Provider Demographics
NPI:1538351713
Name:SIGMA SUPPORT SERVICES, LLC
Entity type:Organization
Organization Name:SIGMA SUPPORT SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAC
Authorized Official - Middle Name:JA-VARAS
Authorized Official - Last Name:EVERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:BSW, MBA, MA
Authorized Official - Phone:919-709-1518
Mailing Address - Street 1:PO BOX 7345
Mailing Address - Street 2:
Mailing Address - City:WILSON
Mailing Address - State:NC
Mailing Address - Zip Code:27895-7345
Mailing Address - Country:US
Mailing Address - Phone:919-709-1518
Mailing Address - Fax:
Practice Address - Street 1:1107 TARBORO ST SW
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NC
Practice Address - Zip Code:27893-4756
Practice Address - Country:US
Practice Address - Phone:919-709-1518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-13
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management