Healthcare Provider Details

I. General information

NPI: 1487586244
Provider Name (Legal Business Name): ASPIRE BEHAVIORAL HEALTH- NC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 LORD BERKLEY RD
RALEIGH NC
27610-2467
US

IV. Provider business mailing address

410 LORD BERKLEY RD
RALEIGH NC
27610-2467
US

V. Phone/Fax

Practice location:
  • Phone: 443-929-8569
  • Fax:
Mailing address:
  • Phone: 443-929-8569
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SARITA THOMPAS
Title or Position: BEHAVIORIAL LICENSING CONSULTANT
Credential:
Phone: 443-929-8569