Tenava Health LLC
Organization Active NPI Community/Behavioral Health Agency · Fayetteville, NC
NPI 1669356333 · NPPES record last updated Aug 4, 2025
Key facts
- NPI
- 1669356333
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- TENAVA HEALTH LLC
- Practice address
- 216 Angel Dr
Fayetteville, NC 28306-9006 - Phone
- (919) 820-9288
- NPI assigned
- Aug 4, 2025
- Organization subpart
- No
Authorized official
- Name
- Ms. Tabatha E. Moore, LCSW, LCAS
- Title
- Administrator
- Phone
- (919) 931-3322
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260219003363 | NC | Part B Supplier - Clinic/Group Practice | 2264913086 |
Receives reassigned benefits from 1 practitioner Practice locations: Fayetteville, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
216 Angel Dr
Fayetteville, NC 28306-9006
Mailing address
2920 Forestville Rd Ste 100
Raleigh, NC 27616-8774
Phone (919) 820-9288
Other providers in Fayetteville, NC
- Biniam Tecle
- David A Teer
- Athar Hussain Tehsin
- Damian Alejandro Tejada
- Todd A Telemeco
- Sarah Jeane Tenbrink
- Michael G Tencza
- Gwendoline Amutjila Tenga
- Stephanie Tenhundfeld
- Ashley Tennyson
All providers in Fayetteville, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.