Healthcare Provider Details

I. General information

NPI: 1881515963
Provider Name (Legal Business Name): HEARTS OF HOPE PEER SUPPORT SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 GLENWOOD AVE STE 200
RALEIGH NC
27612-3857
US

IV. Provider business mailing address

4801 GLENWOOD AVE STE 200
RALEIGH NC
27612-3857
US

V. Phone/Fax

Practice location:
  • Phone: 919-360-9142
  • Fax:
Mailing address:
  • Phone: 919-360-9142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name: TOWANNA PACE
Title or Position: OWNER
Credential:
Phone: 919-360-9142