Dontrieze Kenyatta Chapman
Individual provider Active NPI Mental Illness Community Based Residential Treatment Facility · Kinston, NC
NPI 1508672197 · NPPES record last updated Feb 4, 2025
Key facts
- NPI
- 1508672197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- Practice address
- 2105 Presbyterian LN
Kinston, NC 28501-2265 - Phone
- (252) 268-3798
- Fax
- (252) 509-0455
- NPI assigned
- Dec 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prestigious Living, LLC | Community Based Residential Treatment Facility, Mental Illness | Current | Accepting new patients |
Locations
2105 Presbyterian Ln
Kinston, NC 28501
Phone (252) 268-3798
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | Yes |
Addresses
Primary practice location
2105 Presbyterian LN
Kinston, NC 28501-2265
Mailing address
2105 Presbyterian LN
Kinston, NC 28501-2265
Phone (252) 268-3798
Other providers in Kinston, NC
- Caswell Developmental Center
- Demetra Cates
- Kelly Olivia Cauley
- Emily Anne Cercado
- Brandy Shenelle Chamberlain
- Tanisha Latrice Cherry
- Shung-Fung Chin
- Vernon Sy Chiu
- Varun Kumar Chukka
- Circle of Care Concierge Nursing PLLC
All providers in Kinston, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.