Healthcare Provider Details
I. General information
NPI: 1093619397
Provider Name (Legal Business Name): HOPE BEYOND RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5015 RAINMAKER DR
DURHAM NC
27704-2299
US
IV. Provider business mailing address
5015 RAINMAKER DR
DURHAM NC
27704-2299
US
V. Phone/Fax
- Phone: 919-899-4531
- Fax: 919-822-9879
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | NULL |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
TASHECKA
RENEE
DAVIS
Title or Position: CEO, FOUNDER
Credential: LCMHC, LCAS
Phone: 919-899-4531