OUR TREATMENT CENTER NPI 1134424542

NPI Information

  • NPI: 1134424542
  • Provider Name: OUR TREATMENT CENTER
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 4909 WATERS EDGE DR
    104
    RALEIGH, NC
    ZIP 27606
  • Phone: (919) 601-1313

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NPI Details

OUR TREATMENT CENTER is a mental health counselor in Raleigh, NC. OUR TREATMENT CENTER NPI is 1134424542. The provider is registered as an organization entity type.

The provider's business location address is:

4909 WATERS EDGE DR
104
RALEIGH, NC
ZIP 27606-462
Phone: (919) 601-1313

The provider's authorized official is Tasha Holland-kornegay .
The authorized official title is Owner and has the following contact phone number (919) 601-1313.

The enumeration date for this NPI number is 1/14/2011 and was last updated on 7/11/2022.

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
1251S00000XCommunity/Behavioral HealthNo
2101YM0800XCounselorMental HealthNo
3101YM0800XCounselorMental Health7134NORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16008508MEDICAIDNORTH 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: 11/21/2025

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