R4 Therapeutic Solutions, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

7718 Issued in NC

Legal business name

R4 THERAPEUTIC SOLUTIONS, PLLC

Practice address

690 N Reilly Rd
Suite 2
Fayetteville, NC 28303-5724

Phone

(910) 973-0024

NPI assigned

Aug 13, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. De'Lisa M Hill, MA, LPC, NCC, BCPC

Title

LPC/Owner

Phone

(910) 973-0024

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1013326222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 GREEN VALLEY ROAD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28301",
            "telephone_number": "910-488-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N REILLY RD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035724",
            "telephone_number": "910-973-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R4 THERAPEUTIC SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "DE'LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "910-973-0024",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC, NCC, BCPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "7718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUEOPTIONS",
            "identifier": "721518",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1487838777",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104464",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvon Nguyen Quirk, MSW
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• R&R Behavioral Health & Consulting PLLC
• Brittany Rabe
• Amanda Morcom Rabin, DPT, ATC
• Rachael G Smith Counseling PLLC
• Alexis Radermacher
• Bharathan Radhakrishnan

• Community/Behavioral Health Agency in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.