Healthcare Provider Details

I. General information

NPI: 1255734737
Provider Name (Legal Business Name): HIGHER ASPIRATION BEHAVIORAL HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2014
Last Update Date: 08/23/2022
Certification Date: 08/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5716 STARDUST DR
DURHAM NC
27712-9540
US

IV. Provider business mailing address

6 KELLEY CT
GREENSBORO NC
27401-4679
US

V. Phone/Fax

Practice location:
  • Phone: 336-500-2403
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number39705969
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DENZEL SESLEY
Title or Position: CEO
Credential:
Phone: 336-500-2403