Organization Active NPI

NC Family Wellness and Recovery, LLC

  • Community/Behavioral Health Agency
  • Wake Forest, NC
National Provider Identifier
1356896781
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1530297 Issued in NC
Legal business name
NC FAMILY WELLNESS AND RECOVERY, LLC
Practice address
104 S White St Ste 1005
Wake Forest, NC 27587-2773
Phone
(984) 238-6660
NPI assigned
Aug 15, 2016
Last updated
Jan 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Authorized official

Name
Janet Harris
Title
Ceo
Phone
(984) 238-6660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1530297 NC Primary

Addresses

Primary practice location

104 S White St Ste 1005
Wake Forest, NC 27587-2773

Mailing address

104 S White St Ste 1005
Wake Forest, NC 27587-2773

Other practice location 1

1217 Manassas Ct
Raleigh, NC 27609-4055
Phone (919) 996-0283

National Provider Directory

National Provider Directory

Locations

104 S White St
Ste 1005
Wake Forest, NC 27587
Phone (984) 238-6660

NPI Registry JSON

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

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1356896781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S WHITE ST STE 1005",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S WHITE ST STE 1005",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275872773",
            "telephone_number": "984-238-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1217 Manassas Ct",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276094055",
            "country_code": "US",
            "telephone_number": "919-996-0283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NC FAMILY WELLNESS AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "984-238-6660"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1530297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.