NPIMap

Organization Active NPI

Restorative Behavioral Health Services LLC

  • Community/Behavioral Health Agency
  • Youngsville, NC
National Provider Identifier
1699928762
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RESTORATIVE BEHAVIORAL HEALTH SERVICES LLC
Practice address
88 Wheaton Dr
Youngsville, NC 27596-8691
Phone
(919) 283-5444
Fax
(866) 583-9593
NPI assigned
Nov 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Authorized official

Name
Mrs. Crystal Denee' Bush, MSW, PLCSWNPI 1265532527
Title
Director
Phone
(919) 995-9284

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

88 Wheaton Dr
Youngsville, NC 27596-8691

Mailing address

225 Weathers CT
Ste 109 #25
Youngsville, NC 27596-7852
Phone (919) 283-5444

National Provider Directory

National Provider Directory
Tax ID family
Restorative Behavioral Health Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1225670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225670400000",
    "number": "1699928762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 WEATHERS CT",
            "address_2": "STE 109 #25",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275967852",
            "telephone_number": "919-283-5444",
            "fax_number": "866-583-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WHEATON DR",
            "city": "YOUNGSVILLE",
            "state": "NC",
            "postal_code": "275968691",
            "telephone_number": "919-283-5444",
            "fax_number": "866-583-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATIVE BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "DENEE'",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-995-9284",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, PLCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.