Healthcare Provider Details

I. General information

NPI: 1841183035
Provider Name (Legal Business Name): PIECES 2 PEACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3664 W NC 97
SPRING HOPE NC
27882-8077
US

IV. Provider business mailing address

1239 KATHERINE TRL
ROCKY MOUNT NC
27804-9362
US

V. Phone/Fax

Practice location:
  • Phone: 919-900-0918
  • Fax:
Mailing address:
  • Phone: 919-900-0918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: IMANI CORRENE WARD
Title or Position: OWNER
Credential:
Phone: 919-900-0918