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THERAPEUTIC VILLAGE LLC
NPI 1285452375
Nurse Practitioner - Psychiatric/Mental Health in Raleigh, NC

Active since September 28, 2024
8386 SIX FORKS RD STE 101, RALEIGH, NC 27615(336) 933-1204(336) 510-0926 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Therapeutic Village Llc NPPES

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

THERAPEUTIC VILLAGE LLC (NPI 1285452375) is a healthcare organization registered as a psychiatric/mental health in Raleigh, North Carolina and active in the NPI registry since September 2024. The organization maintains 4 additional practice locations and lists Keymian Crisp, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1285452375
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameTHERAPEUTIC VILLAGE LLC
Location Address8386 SIX FORKS RD STE 101Raleigh, NC 27615-5088
Mailing Address8386 Six Forks Rd Ste 101Raleigh, NC 27615-5088 · (336) 933-1204 · Fax (336) 510-0926
Phone(336) 933-1204
Fax(336) 510-0926
Organization SubpartNo
Authorized OfficialKeymian CrispPractice Manager · (336) 510-0653
Enumeration DateSeptember 28, 2024
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1285452375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8386 SIX FORKS RD STE 101, Raleigh, NC 27615
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Secondary Practice Locations 4

Location 1203 W Nash StLouisburg, NC 27549-2527 · Phone (336) 510-0653 · Fax (336) 510-0926
Location 22157 Raleigh RdHenderson, NC 27536-5761 · Phone (336) 510-0653 · Fax (336) 510-0926
Location 3211 S Jarvis StGreenville, NC 27858-2052 · Phone (336) 510-0653 · Fax (336) 510-0926
Location 4221 1st Ave W Ste 200Seattle, WA 98119-4223 · Phone (336) 510-0653 · Fax (336) 510-9627

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MR. NDUKWE BASSEY KALU
Nurse Practitioner (Psychiatric/Mental Health)
8386 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 649-3384
BRIGHTERLIFE PSYCHOLOGICAL AND BEHAVIORAL SERVICES, PLLC
Psychologist (Clinical)
8386 SIX FORKS RD STE 101
RALEIGH, NC 27615
Wake County (919) 649-5138

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 Therapeutic Village LLC's NPI number?

The NPI number for Therapeutic Village LLC is 1285452375. It was assigned to this organization in the NPPES registry on September 28, 2024.

Where is Therapeutic Village LLC located?

Therapeutic Village LLC is located at 8386 Six Forks Rd Ste 101, Raleigh, NC 27615. The listed phone number is (336) 933-1204.

What is Therapeutic Village LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Therapeutic Village LLC was last updated on October 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.