Blue Ridge Behavioral Health & Trauma Recovery PLLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BLUE RIDGE BEHAVIORAL HEALTH & TRAUMA RECOVERY PLLC

Practice address

1135 Kildaire Farm Rd Ste 200
Cary, NC 27511-4587

Phone

(919) 791-7545

Fax

(919) 747-4257

NPI assigned

Dec 10, 2020

Organization subpart

No

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

Authorized official

Name

Amy E Duffy

Title

Executive Director/Outpatient Psych

Phone

(919) 791-7545

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607558400000",
    "number": "1386240794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7031 US HIGHWAY 221 S",
            "city": "BLOWING ROCK",
            "state": "NC",
            "postal_code": "286059988",
            "telephone_number": "919-791-7545",
            "fax_number": "919-747-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 KILDAIRE FARM RD STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275114587",
            "telephone_number": "919-791-7545",
            "fax_number": "919-747-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE BEHAVIORAL HEALTH & TRAUMA RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-10",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "DUFFY",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OUTPATIENT PSYCH",
        "authorized_official_telephone_number": "919-791-7545"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carie L Bloom, MD
• O Josh Bloom, MD
• Blooming Medical Group, PLLC
• Valerie Blouin-Hunter
• James Gordon Blount, MD
• Michael Blum
• Susan Hyman Blumenthal, PA
• Kimberly Bly, COTA
• Bethany Paige Boak
• Stephen Asante Boateng, D.O.

• Counselor in Cary, NC
• Providers in Cary, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; 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.