Active NPI
Train Up a Child 316, LLC
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Creedmoor, NC
National Provider Identifier
1578476537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Legal business name
- TRAIN UP A CHILD 316, LLC
- Practice address
- 1608 Rogers Pointe LN
Creedmoor, NC 27522-8255 - Phone
- (216) 543-0134
- Fax
- (470) 567-5815
- NPI assigned
- Sep 23, 2026
- Last updated
- Sep 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Theresa Harvey Wilkerson
- Title
- Managing Member
- Phone
- (216) 543-0134
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Primary |
Addresses
Primary practice location
1608 Rogers Pointe LN
Creedmoor, NC 27522-8255
Mailing address
3064 Wake Forest Rd
Raleigh, NC 27609-7844
Phone (216) 543-0134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790121600000",
"number": "1578476537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 WAKE FOREST RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097844",
"telephone_number": "216-543-0134",
"fax_number": "470-567-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 ROGERS POINTE LN",
"city": "CREEDMOOR",
"state": "NC",
"postal_code": "275228255",
"telephone_number": "216-543-0134",
"fax_number": "470-567-5815"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRAIN UP A CHILD 316, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-23",
"last_updated": "2026-09-23",
"certification_date": "2026-09-22",
"status": "A",
"authorized_official_last_name": "HARVEY WILKERSON",
"authorized_official_first_name": "THERESA",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "216-543-0134"
},
"taxonomies": [
{
"code": "322D00000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Emotionally Disturbed Children",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Creedmoor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.