MRS. STEHANIE D WALL
NPI 1083045306
Community Based Residential Treatment Facility, Mental Illness in Raeford, NC

Q: What is Stehanie Wall's NPI number?

The NPI number for Stehanie Wall is 1083045306. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Q: What is Stehanie Wall's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Stehanie Wall was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since December 12, 2013

1357 WAYSIDE RD, RAEFORD, NC 28376(910) 565-2139 Get Directions Write a Review

NPPES record last updated: January 9, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Stehanie D Wall NPPES

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

MRS. STEHANIE D WALL (NPI 1083045306) is an individual community based residential treatment facility, mental illness provider in Raeford, North Carolina, licensed in North Carolina (MHL-047-152) and active in the NPI registry since December 2013.

NPPES Registry Identity

NPI1083045306

Entity TypeIndividualFemale

Primary Taxonomy320800000X

Provider Legal NameMRS. STEHANIE D WALL

Location Address1357 WAYSIDE RDRaeford, NC 28376-6513

Mailing Address3204 High Plains DrHope Mills, NC 28348-5726 · (910) 674-8605

Phone(910) 565-2139

Sole ProprietorYes

Enumeration DateDecember 12, 2013

Last NPPES UpdateJanuary 9, 2015

✔ NPI 1083045306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in NC · MHL-047-152

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License 27-0962043 (SC)

Also ListedPrivate VehicleTaxonomy 347C00000X · License 27-0962043 (SC)

1357 WAYSIDE RD, Raeford, NC 28376

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Other Identifiers 3

Medicare NSC1083045306SC

Other1083045306SC · State Fund

Medicaid1083045306SC

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 Stehanie Wall's NPI number?

The NPI number for Stehanie Wall is 1083045306. It was assigned to this individual provider in the NPPES registry on December 12, 2013.

Where is Stehanie Wall located?

Stehanie Wall practices at 1357 Wayside Rd, Raeford, NC 28376. The listed phone number is (910) 565-2139.

What is Stehanie Wall's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Stehanie Wall was last updated on January 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.