NPIMap

Organization Active NPI

Hurt and Healing Behavioral Health and Wellness PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Havelock, NC
National Provider Identifier
1487304580
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HURT AND HEALING BEHAVIORAL HEALTH AND WELLNESS PLLC
Practice address
118 Crocker Rd
Havelock, NC 28532-2226
Phone
(252) 652-6047
Fax
(252) 377-4260
NPI assigned
Mar 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Dr. Che Raquel Ward, PSYDNPI 1306219134
Title
Owner/Psychologist
Phone
(252) 652-6047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

118 Crocker Rd
Havelock, NC 28532-2226

Mailing address

118 Crocker Rd
Havelock, NC 28532-2226
Phone (252) 652-6047

National Provider Directory

National Provider Directory

Locations

118 Crocker Rd
Havelock, NC 28532
Phone (252) 652-6047

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1487304580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CROCKER RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322226",
            "telephone_number": "252-652-6047",
            "fax_number": "252-377-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CROCKER RD",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285322226",
            "telephone_number": "252-652-6047",
            "fax_number": "252-377-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HURT AND HEALING BEHAVIORAL HEALTH AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "CHE",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "252-652-6047",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.