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MR. DETRAVEUS INGRAM CADC-R
NPI 1225786296
Counselor - Addiction (Substance Use Disorder) in Pinehurst, NC

Active since March 17, 2022
20 PAGE DR, PINEHURST, NC 28374(910) 235-9090(910) 235-9093 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Detraveus Ingram Cadc-r NPPES

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

MR. DETRAVEUS INGRAM CADC-R (NPI 1225786296) is an individual addiction (substance use disorder) provider in Pinehurst, North Carolina, licensed in North Carolina (CADC-27212) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1225786296
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. DETRAVEUS INGRAMCredential: CADC-R
Location Address20 PAGE DRPinehurst, NC 28374-8847
Mailing Address377 Needmore RdCarthage, NC 28327-9245 · (910) 638-2134
Phone(910) 235-9090
Fax(910) 235-9093
Sole ProprietorYes
Enumeration DateMarch 17, 2022
Last NPPES UpdateAugust 12, 2022
NPPES CertifiedMarch 17, 2022
✔ NPI 1225786296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · CADC-27212
20 PAGE DR, Pinehurst, NC 28374
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Other Providers at the Same Location NPPES 20

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

MRS. SOMMER FISHER RN
Registered Nurse
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9090
TOMASITA LOPEZ TAPIA
Licensed Practical Nurse
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9090
ANGELEQUE RAE SCHMITT
Counselor (Addiction (Substance Use Disorder))
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9093
LEAH ARNOLD CADC
Counselor (Addiction (Substance Use Disorder))
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9090
VIVIAN PEITZ CARLYLE RN
Registered Nurse
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9090
ONYA HORTON LPN
Licensed Practical Nurse
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9090
ARMANI EASTERLING
Licensed Practical Nurse
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 235-9090
MR. CHRISTOPHER MICHAEL MELVIN CADC
Counselor (Addiction (Substance Use Disorder))
20 PAGE DR
PINEHURST, NC 28374
Moore County (910) 719-2497

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 Detraveus Ingram's NPI number?

The NPI number for Detraveus Ingram is 1225786296. It was assigned to this individual provider in the NPPES registry on March 17, 2022.

Where is Detraveus Ingram located?

Detraveus Ingram practices at 20 Page Dr, Pinehurst, NC 28374. The listed phone number is (910) 235-9090.

What is Detraveus Ingram's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Detraveus Ingram was last updated on August 12, 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.