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PROGRESSIVE RECOVERY LLC
NPI 1053076364
Community/Behavioral Health in Charlotte, NC

Active since November 02, 2021
8310 CAROB TREE LN, CHARLOTTE, NC 28215(917) 767-9817 Get Directions Write a Review

NPPES record last updated: January 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2022, Nov 2, 2021 (2 updates tracked since 2021).

About Progressive Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROGRESSIVE RECOVERY LLC (NPI 1053076364) is a healthcare organization registered as a community/behavioral health in Charlotte, North Carolina and active in the NPI registry since November 2021. The organization lists Latisha Coles, Agency Director, as its authorized official.

NPPES Registry Identity

NPI1053076364
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROGRESSIVE RECOVERY LLC
Location Address8310 CAROB TREE LNCharlotte, NC 28215-7142
Mailing Address5309 Monroe Rd Ste 112Charlotte, NC 28205-7829 · (917) 767-9817
Phone(917) 767-9817
Organization SubpartNo
Authorized OfficialLatisha ColesAgency Director · (917) 767-9817
Enumeration DateNovember 2, 2021
Last NPPES UpdateJanuary 5, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2022
✔ NPI 1053076364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8310 CAROB TREE LN, Charlotte, NC 28215
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Other Identifiers 1

Medicaid00000NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LATISHA COLES
Community/Behavioral Health
8310 CAROB TREE LN
CHARLOTTE, NC 28215
Mecklenburg County (917) 767-9817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Progressive Recovery LLC's NPI number?

The NPI number for Progressive Recovery LLC is 1053076364. It was assigned to this organization in the NPPES registry on November 2, 2021.

Where is Progressive Recovery LLC located?

Progressive Recovery LLC is located at 8310 Carob Tree Ln, Charlotte, NC 28215. The listed phone number is (917) 767-9817.

What is Progressive Recovery LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Progressive Recovery LLC was last updated on January 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.