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PROFESSIONAL GROUP LIVING, LLC
NPI 1356582472
Community/Behavioral Health in Goldsboro, NC

Active since March 19, 2009
122 S CENTER ST, GOLDSBORO, NC 27530(919) 735-2211(919) 735-2277 Get Directions Write a Review

NPPES record last updated: March 19, 2009. Verified against the NPPES registry weekly; last sync: July 26, 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 1356582472) is a healthcare organization registered as a community/behavioral health in Goldsboro, North Carolina and active in the NPI registry since March 2009. The organization lists Llewellyn Hicks, Director, as its authorized official.

NPPES Registry Identity

NPI1356582472
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROFESSIONAL GROUP LIVING, LLC
Location Address122 S CENTER STGoldsboro, NC 27530-4829
Mailing Address510 Simmons StDurham, NC 27701-4334 · (919) 688-0818 · Fax (919) 688-0918
Phone(919) 735-2211
Fax(919) 735-2277
Organization SubpartNo
Authorized OfficialLlewellyn HicksDirector · (919) 475-6124
Enumeration DateMarch 19, 2009
✔ NPI 1356582472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · 8109498
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.

Also ListedCase ManagementTaxonomy 251B00000X · License 8109498 (NC)
122 S CENTER ST, Goldsboro, NC 27530
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Other Providers at the Same Location NPPES

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

PROFESSIONAL GROUP LIVING, LLC
Community/Behavioral Health
122 S CENTER ST
GOLDSBORO, NC 27530
Wayne County (919) 688-0818

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 1356582472. It was assigned to this organization in the NPPES registry on March 19, 2009.

Where is Professional Group Living, LLC located?

Professional Group Living, LLC is located at 122 S Center St, Goldsboro, NC 27530. The listed phone number is (919) 735-2211.

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 March 19, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.