Organization Active NPI

Self Centered LLC

Doing business as Self Centered Body & Wellness

  • Massage Therapist
  • Raeford, NC
National Provider Identifier
1659160570
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SELF CENTERED LLC
Doing business as
Self Centered Body & Wellness
Practice address
632 W Prospect Ave
Raeford, NC 28376-2512
Phone
(910) 390-0107
NPI assigned
May 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Mrs. Dashavone S Holmes, LMBTNPI 1851154637
Title
Owner/Operator
Phone
(910) 835-6275

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

632 W Prospect Ave
Raeford, NC 28376-2512

Mailing address

632 W Prospect Ave
Raeford, NC 28376-2512
Phone (910) 390-0107

Other practice location 1

757 S Main St
Raeford, NC 28376-3238
Phone (910) 390-0107

Other names 1

  • Self Centered Body & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

632 W Prospect Ave
Raeford, NC 28376
Phone (910) 390-0107

Practitioners & affiliated clinicians

Practitioners 1

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": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1659160570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 W PROSPECT AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762512",
            "telephone_number": "910-390-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 W PROSPECT AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283762512",
            "telephone_number": "910-390-0107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 S Main St",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283763238",
            "country_code": "US",
            "telephone_number": "910-390-0107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELF CENTERED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "DASHAVONE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "910-835-6275",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMBT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Self Centered Body & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raeford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.