Organization Active NPI

Train Up a Child 316, LLC

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Creedmoor, NC
National Provider Identifier
1578476537
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.