GO HARD FOR LIFE INTERNATIONAL NPI 1508253923

NPI Information

NPI: 1508253923
Provider Name: GO HARD FOR LIFE INTERNATIONAL
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3211 BRAMER DRIVE
RALEIGH, NC
ZIP 27604
Phone: (919) 850-9960
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GO HARD FOR LIFE INTERNATIONAL is a mental health counselor in Raleigh, NC. GO HARD FOR LIFE INTERNATIONAL NPI is 1508253923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3211 BRAMER DRIVE
RALEIGH, NC
ZIP 27604-804
Phone: (919) 850-9960
Fax: (919) 850-9961

The provider's authorized official is Jerry William Wiley .
The authorized official title is Medical Director and has the following contact phone number (919) 850-9960.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 5/10/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	21616	NORTH CAROLINA	No
2	103TE1100X	Psychologist	Exercise & Sports	21616	NORTH CAROLINA	No
3	104100000X	Social Worker		21616	NORTH CAROLINA	No
4	106H00000X	Marriage & Family Therapist		21616	NORTH CAROLINA	No
5	101YM0800X	Counselor	Mental Health	21616	NORTH CAROLINA	Yes

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

NPI Synchronization or Removal

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