Organization Active NPI

Saving Graces, LLC

  • Community/Behavioral Health Agency
  • Youngsville, NC
National Provider Identifier
1043580780
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8233 Issued in NC
Legal business name
SAVING GRACES, LLC
Practice address
95 Spicetree CT
Youngsville, NC 27596-7042
Phone
(919) 710-9841
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Ms. Rasheede Hicks, LPC
Title
Licensed Professional Counselor
Phone
(919) 710-9841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 8233 NC Primary

Addresses

Primary practice location

95 Spicetree CT
Youngsville, NC 27596-7042

Mailing address

95 Spicetree CT
Youngsville, NC 27596-7042
Phone (919) 710-9841

Other identifiers 1

IdentifierTypeStateIssuer
6104790MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1043580780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SPICETREE CT",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967042",
            "telephone_number": "919-710-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SPICETREE CT",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967042",
            "telephone_number": "919-710-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAVING GRACES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "RASHEEDE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "919-710-9841",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.