ENRICHMENT SERVICES GROUP LLC NPI 1215589817

NPI Information

  • NPI: 1215589817
  • Provider Name: ENRICHMENT SERVICES GROUP LLC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 140 N STEELE ST STE 17
    SANFORD, NC
    ZIP 27330
  • Phone: (919) 342-8767

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NPI Details

ENRICHMENT SERVICES GROUP LLC is a professional counselor in Sanford, NC. ENRICHMENT SERVICES GROUP LLC NPI is 1215589817. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

140 N STEELE ST STE 17
SANFORD, NC
ZIP 27330-967
Phone: (919) 342-8767
Fax: (919) 869-2558

The provider's authorized official is Laquana Richmond .
The authorized official title is Clinical Director and has the following contact phone number (919) 342-8767.

The enumeration date for this NPI number is 7/12/2019 and was last updated on 7/12/2019.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2175T00000XPeer SpecialistNo
3251S00000XCommunity/Behavioral HealthNo
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5101YP2500XCounselorProfessionalYes

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
11801183850MEDICAIDNORTH 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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