Healthcare Provider Details

I. General information

NPI: 1568389252
Provider Name (Legal Business Name): PEERLINK RECOVERY 1 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 ROSENWALD ST
BURLINGTON NC
27217-2468
US

IV. Provider business mailing address

1404 HAWKINS ST
REIDSVILLE NC
27320-2613
US

V. Phone/Fax

Practice location:
  • Phone: 336-361-2073
  • Fax: 336-800-0928
Mailing address:
  • Phone: 336-361-2073
  • Fax: 336-800-0928

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LAVON WINCHESTER
Title or Position: OWNER
Credential:
Phone: 336-361-2073