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PROFESSIONAL GROUP LIVING, LLC
NPI 1750522165
Community/Behavioral Health in Clinton, NC

Active since March 13, 2009
715 SOUTHWEST BLVD., B, CLINTON, NC 28328(919) 592-2338(919) 592-5508 Get Directions Write a Review

NPPES record last updated: March 13, 2009. Verified against the NPPES registry weekly; last sync: August 09, 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 1750522165) is a healthcare organization registered as a community/behavioral health in Clinton, North Carolina and active in the NPI registry since March 2009. The organization lists Llewellyn Hicks, Director, as its authorized official.

NPPES Registry Identity

NPI1750522165
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROFESSIONAL GROUP LIVING, LLC
Location Address715 SOUTHWEST BLVD., BClinton, NC 28328-4829
Mailing Address510 Simmons StDurham, NC 27701-4334 · (919) 688-0818 · Fax (919) 688-0918
Phone(919) 592-2338
Fax(919) 592-5508
Organization SubpartNo
Authorized OfficialLlewellyn HicksDirector · (919) 475-6124
Enumeration DateMarch 13, 2009
✔ NPI 1750522165 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 ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X · License 8109498 (NC)
715 SOUTHWEST BLVD., Clinton, NC 28328
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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 1750522165. It was assigned to this organization in the NPPES registry on March 13, 2009.

Where is Professional Group Living, LLC located?

Professional Group Living, LLC is located at 715 Southwest Blvd. B, Clinton, NC 28328. The listed phone number is (919) 592-2338.

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 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.