Powerhouse Residential Treatment Facility, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

POWERHOUSE RESIDENTIAL TREATMENT FACILITY, LLC

Practice address

5075 Morganton Rd Ste 10
Fayetteville, NC 28314-1542

Phone

(910) 828-7900

Fax

(910) 851-2615

NPI assigned

Oct 2, 2024

Organization subpart

No

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

Authorized official

Name

Akelia Hollingsworth-Roper

Title

Chief Executive Officer/Founder

Phone

(910) 828-7900

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1727827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1659199040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 10",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141542",
            "telephone_number": "910-878-7900",
            "fax_number": "910-851-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 MORGANTON RD STE 10",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141542",
            "telephone_number": "910-828-7900",
            "fax_number": "910-851-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWERHOUSE RESIDENTIAL TREATMENT FACILITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-02",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "HOLLINGSWORTH-ROPER",
        "authorized_official_first_name": "AKELIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER/FOUNDER",
        "authorized_official_telephone_number": "910-828-7900"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Michelle Powell, MSW, LCSWA, LCASA
• Samantha Powell
• Savannah Bailey Powell, MS, CCC-SLP
• Torrie Luciana Powell, LCSW, LCAS
• Powerback Rehabilitation LLC
• Alice G Powers, M.S.P. CCC/SLP
• Camden Powers, DO
• Kenisha Powers
• Laurie Ann Powers, PA-C
• Marwan Tahir Powers, MD

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.