CB RECOVERY SERVICES LLC NPI 1811255037

NPI Information

  • NPI: 1811255037
  • Provider Name: CB RECOVERY SERVICES, LLC
  • Classification: Psychologist - 103TP0016X
  • Specialization: Prescribing (Medical)
  • Entity Type: Organization
  • Address: 21 ANNA DRIVE
    SUITE 105 AND 106
    CLAYTON, NC
    ZIP 27520
  • Phone: (919) 585-5020

Map and Directions

Get Directions

NPI Details

CB RECOVERY SERVICES, LLC is a prescribing (medical) psychologist in Clayton, NC. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. CB RECOVERY SERVICES, LLC NPI is 1811255037. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

21 ANNA DRIVE
SUITE 105 AND 106
CLAYTON, NC
ZIP 27520-181
Phone: (919) 585-5020
Fax: (919) 550-5175

The provider's authorized official is Eugenia Valisha Davis .
The authorized official title is Program Director and has the following contact phone number (919) 585-4486.

The enumeration date for this NPI number is 4/25/2012 and was last updated on 7/21/2022.

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
1103TP0016XPsychologistPrescribing (Medical)NORTH 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
18303420MEDICAIDNORTH CAROLINA
28303420PMEDICAIDNORTH CAROLINA
38303420QMEDICAIDNORTH 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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI