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R4 THERAPEUTIC SOLUTIONS PLLC NPI 1013326222


NPI Information

NPI: 1013326222
Provider Name: R4 THERAPEUTIC SOLUTIONS, PLLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
690 N REILLY RD
SUITE 2
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 973-0024
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R4 THERAPEUTIC SOLUTIONS, PLLC is a community behavioral health in Fayetteville, NC. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. R4 THERAPEUTIC SOLUTIONS, PLLC NPI is 1013326222. The provider is registered as an organization entity type.

The provider's business location address is:

690 N REILLY RD
SUITE 2
FAYETTEVILLE, NC
ZIP 28303-724
Phone: (910) 973-0024

The provider's authorized official is De'lisa M Hill .
The authorized official title is Lpc/owner and has the following contact phone number (910) 973-0024.

The enumeration date for this NPI number is 8/13/2014 and was last updated on 8/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health7718NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1721518OTHERNORTH CAROLINAVALUEOPTIONS
21487838777OTHERNORTH CAROLINABCBS
36104464MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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