RAINTREE CLINIC NPI 1124172499

NPI Information

  • NPI: 1124172499
  • Provider Name: RAINTREE CLINIC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 804 STAMPER RD
    SUITE 101
    FAYETTEVILLE, NC
    ZIP 28303
  • Phone: (910) 323-2875

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NPI Details

RAINTREE CLINIC is an addiction (substance use disorder) counselor in Fayetteville, NC. RAINTREE CLINIC NPI is 1124172499. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

804 STAMPER RD
SUITE 101
FAYETTEVILLE, NC
ZIP 28303-379
Phone: (910) 323-2875
Fax: (910) 323-1355

The provider's authorized official is John D.a. Vaughn .
The authorized official title is President and has the following contact phone number (910) 323-2875.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/11/2025.

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
1101YM0800XCounselorMental HealthMHL-026-176NORTH CAROLINANo
2101YA0400XCounselorAddiction (Substance Use Disorder)50018NORTH CAROLINAYes

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: 11/21/2025

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