Healthcare Provider Details

I. General information

NPI: 1598671000
Provider Name (Legal Business Name): KEARAH'S PLACE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

946 W ANDREWS AVE STE O
HENDERSON NC
27536-2500
US

IV. Provider business mailing address

946 W ANDREWS AVE STE O
HENDERSON NC
27536-2500
US

V. Phone/Fax

Practice location:
  • Phone: 252-598-2025
  • Fax:
Mailing address:
  • Phone: 252-598-2025
  • Fax:

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: JASMINE RYANT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-263-1374