PROLIFIC LIFE SOLUTIONS, PLLC (NPI# 1225654080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225654080 |
| Entity Type | Organization |
| Organization Name | PROLIFIC LIFE SOLUTIONS, PLLC |
| Practice Address |
4030 Wake Forest Rd Ste 349 Raleigh NC 27609-0010 |
| Practice Telephone | 7045161261 |
| Mailing Telephone | 7045161261 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | CHERIA DIANE MORGAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7045161261 |
| Authorized Official Credential | LCSW, LCAS-A |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4030 WAKE FOREST RD STE 349 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-0010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689041097 | Jomall Cummings | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-09-01 |
| 1053955856 | Full Spectrum Aba of North Carolina LLC | Assistant Behavior Analyst | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2019-11-05 |
| 1851942338 | Ultracare LLC | Clinic/Center | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2019-09-25 |
| 1164073748 | Chortney Bellucci | Radiologic Technologist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-0010 | 2019-09-24 |
| 1295196806 | Chiquitta Lashawn Mcneill | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-03-09 |
| 1093175150 | Albany Lynn Ballard | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-03-02 |
| 1508226135 | Kimberly Burns | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2016-02-24 |
| 1861867574 | Catherine Elizabeth Graham | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-12-07 |
| 1669845780 | Emisha U Rodriguezdickey | Developmental Therapist | 4030 Wake Forest Rd Ste 349, Raleigh, NC 27609-6800 | 2015-11-11 |
| 1437521937 | Caitlin Haynes-trotta | Behavioral Analyst | 4030 Wake Forest Rd Ste 349, Ste 349, Raleigh, NC 27609-6800 | 2015-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790327278 | L.c. Braxton Counseling, Pllc | Clinic/Center | 5700 Six Forks Rd Ste 202, Raleigh, NC 27609-8616 | 2019-10-16 |
| 1831742857 | Nextstep Enhancement Services Inc | Clinic/Center | 7204 Lowell Ridge Rd, Raleigh, NC 27616-8684 | 2019-07-18 |
| 1942769625 | Latoya Nelson Enterprises, LLC | Clinic/Center | 211 E Six Forks Rd Ste 204, Raleigh, NC 27609-7753 | 2019-03-13 |
| 1154835023 | Sacred Journey Family Services LLC | Clinic/Center | 4840 Quarryman Rd, Raleigh, NC 27610-6625 | 2017-11-29 |
| 1922521590 | Under The Willow Counseling | Clinic/Center | 8410 Six Forks Rd Ste 203, Raleigh, NC 27615-3078 | 2017-07-25 |
| 1063756435 | Good Life Care, Inc | Clinic/Center | 5847 Mchines Pl Ste D, Raleigh, NC 27616-1829 | 2012-11-25 |
| 1164556254 | County of Wake | Clinic/Center | 220 Snow Ave, Raleigh, NC 27603-1535 | 2007-03-14 |
| 1154463693 | Long Acres Family Care Home#1 | Clinic/Center | 400 Parnell Dr, Raleigh, NC 27610-3402 | 2007-02-13 |
| 1003847229 | Easter Seals Ucp Asap Inc | Clinic/Center | 3801 Lake Boone Trl, Suite 320, Raleigh, NC 27607-2934 | 2006-07-05 |
| 1265095343 | Toni Georgiana, Lcsw, Pllc | Clinic/Center | 5613 Duraleigh Rd Ste 101, Raleigh, NC 27612-2694 | 2019-04-15 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.