Experience Successful Living LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EXPERIENCE SUCCESSFUL LIVING LLC

Practice address

2941 Filbert St
Raleigh, NC 27610-5397

Phone

(252) 347-4628

NPI assigned

Jul 6, 2026

Last updated

Jul 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shenika Phillips

Title

Owner

Phone

(252) 347-4628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783555200000",
    "number": "1477470862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 FILBERT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105397",
            "telephone_number": "252-347-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 FILBERT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276105397",
            "telephone_number": "252-347-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCE SUCCESSFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SHENIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-347-4628"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.