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FULL POTENTIAL,LLC
NPI 1639219348
Community Based Residential Treatment Facility, Mental Illness in Fayetteville, NC

Active since February 08, 2007
7238 PEBBLEBROOK DR, FAYETTEVILLE, NC 28314(910) 670-1989 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Full Potential,llc NPPES

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

FULL POTENTIAL,LLC (NPI 1639219348) is a healthcare organization registered as a community based residential treatment facility, mental illness in Fayetteville, North Carolina and active in the NPI registry since February 2007. The organization lists Jerome S Johnson, Co-director, as its authorized official.

NPPES Registry Identity

NPI1639219348
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameFULL POTENTIAL,LLC
Location Address7238 PEBBLEBROOK DRFayetteville, NC 28314-5232
Mailing AddressPo Box 25681Fayetteville, NC 28314-5011 · (910) 670-1989
Phone(910) 670-1989
Organization SubpartNo
Authorized OfficialJerome S JohnsonCo-director · (910) 670-1989
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1639219348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NC · MHL026799
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
7238 PEBBLEBROOK DR, Fayetteville, NC 28314
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Other Identifiers 1

Medicaid6603827NC

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 Full Potential,llc's NPI number?

The NPI number for Full Potential,llc is 1639219348. It was assigned to this organization in the NPPES registry on February 8, 2007.

Where is Full Potential,llc located?

Full Potential,llc is located at 7238 Pebblebrook Dr, Fayetteville, NC 28314. The listed phone number is (910) 670-1989.

What is Full Potential,llc'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 Full Potential,llc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.