Organization Active NPI

Sunlight Behavior Center, Inc

  • Addiction (Substance Use Disorder) Counselor
  • Fayetteville, NC
National Provider Identifier
1083849400
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MHL026777 Issued in NC
Legal business name
SUNLIGHT BEHAVIOR CENTER, INC
Practice address
2030 Hoke Loop Rd
Fayetteville, NC 28314-6495
Phone
(910) 864-2443
Fax
(910) 864-2804
NPI assigned
May 29, 2009
Last updated
Aug 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Authorized official

Name
Rachell RahmaanNPI 1437539277
Title
Administrator
Phone
(910) 864-2443

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MHL026777 NC Primary

Addresses

Primary practice location

2030 Hoke Loop Rd
Fayetteville, NC 28314-6495

Mailing address

2030 Hoke Loop Rd
Fayetteville, NC 28314-6495
Phone (910) 864-2443

Other identifiers 1

IdentifierTypeStateIssuer
6006765MedicaidNC

National Provider Directory

National Provider Directory

Locations

10362 Fayetteville Rd
Fayetteville, NC 28304
Phone (910) 864-2443

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1083849400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 HOKE LOOP RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146495",
            "telephone_number": "910-864-2443",
            "fax_number": "910-864-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 HOKE LOOP RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283146495",
            "telephone_number": "910-864-2443",
            "fax_number": "910-864-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIGHT BEHAVIOR CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "RAHMAAN",
        "authorized_official_first_name": "RACHELL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-864-2443"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "MHL026777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6006765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.