Enrichment Behavioral Care Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENRICHMENT BEHAVIORAL CARE SERVICES, LLC

Practice address

102 S 1St Ave
Ste 6
Knightdale, NC 27545-7055

Phone

(919) 217-0363

Fax

(919) 217-0365

NPI assigned

Aug 6, 2008

Organization subpart

No

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

Authorized official

Name

Relonda Richard

Title

Ceo

Phone

(919) 217-0363

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217980800000",
    "number": "1992961163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 1ST AVE",
            "address_2": "STE 6",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457055",
            "telephone_number": "919-217-0363",
            "fax_number": "919-217-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 1ST AVE",
            "address_2": "STE 6",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275457055",
            "telephone_number": "919-217-0363",
            "fax_number": "919-217-0365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICHMENT BEHAVIORAL CARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "RELONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-217-0363"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.