Recovery Journey Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RECOVERY JOURNEY SERVICES LLC

Practice address

201 E Pitt St Ste 103
Tarboro, NC 27886-5137

Phone

(252) 378-9940

NPI assigned

Aug 5, 2020

Organization subpart

No

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

Authorized official

Name

Tyeasia Kiah Dorsey, LCAS CCSNPI 1316599160

Title

Owner

Phone

(252) 378-9940

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Recovery Journey Services LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyeasia K Dorsey, CSAC, LCAS

  • Addiction (Substance Use Disorder) Counselor
  • Tarboro, NC
  • NPI 1316599160
  NPD Authorized official

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1144830027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2054 FISHPOND RD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348852",
            "telephone_number": "252-814-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E PITT ST STE 103",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865137",
            "telephone_number": "252-378-9940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 E Granville St",
            "address_purpose": "LOCATION",
            "city": "Windsor",
            "state": "NC",
            "postal_code": "279836754",
            "country_code": "US",
            "telephone_number": "252-378-9940",
            "fax_number": "252-275-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RECOVERY JOURNEY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-05",
        "last_updated": "2023-09-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "DORSEY",
        "authorized_official_first_name": "TYEASIA",
        "authorized_official_middle_name": "KIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-378-9940",
        "authorized_official_credential": "LCAS CCS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00586698",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Journey Services LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Recovery Journey Services LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Tarboro, NC
• Providers in Tarboro, 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 Sep 6, 2023; 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.