Organization Active NPI

Pamlico River Recovery Services LLC

  • Community/Behavioral Health Agency
  • Washington, NC
National Provider Identifier
1427925353
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PAMLICO RIVER RECOVERY SERVICES LLC
Practice address
118 Avon Ave Ste 103
Washington, NC 27889-3870
Phone
(252) 833-0581
Fax
(252) 833-0582
NPI assigned
Oct 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Ilisha Harris, LCMHCA, LCAS, CSI
Title
Director
Phone
(740) 648-6093

Specialties & licenses 1

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

Addresses

Primary practice location

118 Avon Ave Ste 103
Washington, NC 27889-3870

Mailing address

118 Avon Ave Ste 103
Washington, NC 27889-3870
Phone (252) 833-0581

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1761177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1427925353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 AVON AVE STE 103",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893870",
            "telephone_number": "252-833-0581",
            "fax_number": "252-833-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 AVON AVE STE 103",
            "city": "WASHINGTON",
            "state": "NC",
            "postal_code": "278893870",
            "telephone_number": "252-833-0581",
            "fax_number": "252-833-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMLICO RIVER RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ILISHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "740-648-6093",
        "authorized_official_credential": "LCMHCA, LCAS, CSI"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.