FULL POTENTIAL LLC
NPI 1922236140
Community/Behavioral Health in Fayetteville, NC

Active since June 25, 2009
308 HAY ST STE D, FAYETTEVILLE, NC 28301(910) 860-3855 Get Directions Write a Review

NPPES record last updated: June 25, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community/Behavioral Health

About FULL POTENTIAL LLC

This page provides the complete NPI Profile along with additional information for Full Potential Llc, a provider established in Fayetteville, North Carolina operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1922236140 assigned on June 2009. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Jerome Johnson Msw, Plcsw (Director)

NPI
1922236140 Verify this NPI
Provider Name
FULL POTENTIAL LLC
Entity Type
Organization
Location Address
308 HAY ST STE D FAYETTEVILLE, NC 28301
Location Phone
(910) 860-3855
Mailing Address
PO BOX 25681 FAYETTEVILLE, NC 28314
Mailing Phone
(910) 860-3855
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-25-2009
Last Update Date
06-25-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEROME JOHNSON MSW, PLCSW

Authorized Official Title
DIRECTOR
Authorized Official Phone
(910) 860-3855

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922236140, enumerated as an "organization" on June 25, 2009.

The provider is located at 308 HAY ST STE D FAYETTEVILLE, NC 28301 and the phone number is (910) 860-3855.

Community/Behavioral Health with taxonomy code 251S00000X.