PROFESSIONAL GROUP LIVING, LLC
NPI 1265620421
Community/Behavioral Health in Henderson, NC

Active since October 11, 2007
1775 GRAHAM AVE, SUITE 104, HENDERSON, NC 27536(919) 475-5845 Get Directions Write a Review

NPPES record last updated: October 11, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Group Living, Llc NPPES

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

PROFESSIONAL GROUP LIVING, LLC (NPI 1265620421) is a healthcare organization registered as a community/behavioral health in Henderson, North Carolina and active in the NPI registry since October 2007. The organization lists Natalka A Lock Massey, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265620421
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROFESSIONAL GROUP LIVING, LLC
Location Address1775 GRAHAM AVE, SUITE 104Henderson, NC 27536-5948
Mailing Address1775 Graham Ave, Suite 104Henderson, NC 27536-5948 · (919) 475-5845
Organization SubpartNo
Authorized OfficialNatalka A Lock MasseyExecutive Director · (919) 475-5845
Enumeration DateOctober 11, 2007
NPI 1265620421 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.
1775 GRAHAM AVE, Henderson, NC 27536

Other Identifiers 1

Medicaid8302074NC

Other Providers at the Same Location NPPES 8

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

Hearing Instrument Specialist
1775 GRAHAM AVE
HENDERSON, NC 27536
Community/Behavioral Health
1775 GRAHAM AVE, SUITE 103
HENDERSON, NC 27536
Chiropractor
1775 GRAHAM AVE, SUITE 102
HENDERSON, NC 27536
Counselor
1775 GRAHAM AVE, SUITE 103
HENDERSON, NC 27536
Day Training, Developmentally Disabled Services
1775 GRAHAM AVE, SUITE 103
HENDERSON, NC 27536
Community/Behavioral Health
1775 GRAHAM AVE, SUITE 103
HENDERSON, NC 27536
Chiropractor
1775 GRAHAM AVE, SUITE 102
HENDERSON, NC 27536
Community/Behavioral Health
1775 GRAHAM AVE, SUITE 103
HENDERSON, NC 27536

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 Professional Group Living, LLC's NPI number?

The NPI number for Professional Group Living, LLC is 1265620421. It was assigned to this organization in the NPPES registry on October 11, 2007.

Where is Professional Group Living, LLC located?

Professional Group Living, LLC is located at 1775 Graham Ave Suite 104, Henderson, NC 27536. The listed phone number is (919) 475-5845.

What is Professional Group Living, 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 Professional Group Living, LLC was last updated on October 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.