CB Recovery Associates, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MHL-051-194 Issued in NC

Legal business name

CB RECOVERY ASSOCIATES, LLC

Practice address

21 Anna Dr.
Suites 105 & 106
Clayton, NC 27520

Phone

(919) 585-5020

Fax

(704) 452-1117

NPI assigned

Sep 13, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Clayton Wellman

Title

Owner

Phone

(919) 345-5020

Specialties & licenses 1

Addresses

Tax ID family

CB Recovery Associates LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CB Recovery Services, LLC

  • Prescribing (Medical) Psychologist
  • Clayton, NC
  • NPI 1811255037
  NPD tax ID

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1659653053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 ANNA DRIVE",
            "address_2": "SUITES 105 AND 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-585-5020",
            "fax_number": "919-158-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 ANNA DR.",
            "address_2": "SUITES 105 & 106",
            "city": "CLAYTON",
            "state": "NC",
            "postal_code": "27520",
            "telephone_number": "919-585-5020",
            "fax_number": "704-452-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CB RECOVERY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "WELLMAN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-345-5020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "MHL-051-194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luz Maria Carrasquillo
• Heather Marie Carreon, RN, IBCLC
• Rebeca Carro
• Craig Steven Carter, MD
• Cary Orthopaedic and Sports Medicine Specialists, P.a.
• CB Recovery Services, LLC
• Cedar Creek Medical Group
• Artenida Cela, RD/LDN
• Center for Orthotic and Prosthetic Care of North Carolina, Inc
• Centered Chiropractic PA

• Community/Behavioral Health Agency in Clayton, NC
• Providers in Clayton, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.