Organization Active NPI

Redemption Eternal LLC

  • Peer Specialist
  • Charlotte, NC
National Provider Identifier
1033902358
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
REDEMPTION ETERNAL LLC
Practice address
1213 W Morehead Street
Suite 500 Unit 225
Charlotte, NC 28208
Phone
(305) 771-5652
NPI assigned
May 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Authorized official

Name
Mr. Dewayne Antonio Freeman
Title
Ceo
Phone
(704) 631-6995

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 175T00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

1213 W Morehead Street
Suite 500 Unit 225
Charlotte, NC 28208

Mailing address

1213 W Morehead Street
Suite 500 Unit 225
Charlotte, NC 28208
Phone (305) 771-5652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1033902358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD STREET",
            "address_2": "SUITE 500 UNIT 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "305-771-5652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W MOREHEAD STREET",
            "address_2": "SUITE 500 UNIT 225",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28208",
            "telephone_number": "305-771-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEMPTION ETERNAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "DEWAYNE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-631-6995",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; 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.