Active NPI
Saving Graces, LLC
- Community/Behavioral Health Agency
- Youngsville, NC
National Provider Identifier
1043580780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 8233
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104790 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.